Individual provider Active NPI

Ashkan Berenji, DO

  • Vascular & Interventional Radiology Physician
  • Houston, TX
National Provider Identifier
1861996282
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
S4445 Issued in TX
Practice address
1504 Taub Loop
Houston, TX 77030-1608
Phone
(713) 873-8890
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X S4445 TX
Vascular & Interventional Radiology Physician 2085R0204X OS19596 FL
Vascular & Interventional Radiology Physician 2085R0204X S4445 TX Primary

Addresses

Primary practice location

1504 Taub Loop
Houston, TX 77030-1608

Mailing address

64 Legend LN
Houston, TX 77024-2400
Phone (713) 819-3248

Other practice location 1

1 Baylor Plz
Houston, TX 77030-3498
Phone (713) 798-4951

Other practice location 2

6720 Bertner Ave
Houston, TX 77030-2604
Phone (713) 798-2222

Other practice location 3

7200 Cambridge St Fl 1
Houston, TX 77030-4202
Phone (713) 798-3924

Other practice location 4

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (713) 819-3248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230505002271 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0840655338 Reassigns benefits to 2 organizations
I20240821002693 TX Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0840655338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians

Practice addresses (Care Compare)

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Diagnostic Radiology CurrentSince Jun 9, 2024 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Jun 9, 2024 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Jan 24, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Jun 9, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jun 9, 2024 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Jan 24, 2023 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1 Baylor Plz
#2
Houston, TX 77030

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1504 Taub Loop
#621
Houston, TX 77030

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

1 Baylor Plz
Va Hospital, TX 77030
Phone (713) 798-5588

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1861996282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 LEGEND LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242400",
            "telephone_number": "713-819-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-873-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Baylor Plz",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303498",
            "country_code": "US",
            "telephone_number": "713-798-4951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6720 Bertner Ave",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302604",
            "country_code": "US",
            "telephone_number": "713-798-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Cambridge St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304202",
            "country_code": "US",
            "telephone_number": "713-798-3924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "713-819-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERENJI",
        "first_name": "ASHKAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S4445",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "OS19596",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "S4445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.