Active NPI
Thierry Huisman, MD
- Pediatric Radiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 48102
- Practice address
- 6621 Fannin St
Houston, TX 77030-2358 - Phone
- (832) 824-1000
- NPI assigned
- Sep 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | D48391 | MD | |
| Pediatric Radiology Physician | 2085P0229X | 48102 | TX | Primary |
Addresses
Primary practice location
6621 Fannin St
Houston, TX 77030-2358
Mailing address
600 N Wolfe St
Nelson B173
Baltimore, MD 21287-0005
Phone (410) 944-6140
Other practice location 1
600 N Wolfe St
Nelson B173
Baltimore, MD 21287-0005
Phone (410) 944-6140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D48391 | MD | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Current | Accepting new patients |
Locations
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866
101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840
15400 Southwest Fwy
Ste 200
Sugar Land, TX 77478
Phone (281) 494-7010
17600 Interstate 45 S
The Woodlands, TX 77384
Phone (936) 267-5000
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1881880334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"address_2": "NELSON B173",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-944-6140",
"fax_number": "410-614-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302358",
"telephone_number": "832-824-1000"
}
],
"practiceLocations": [
{
"address_1": "600 N Wolfe St",
"address_2": "Nelson B173",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870005",
"country_code": "US",
"telephone_number": "410-944-6140",
"fax_number": "410-614-2972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUISMAN",
"first_name": "THIERRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "MD",
"license": "D48391",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "TX",
"license": "48102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.