Professional Imaging, PLLC
Organization Active NPI Geriatric Medicine (Family Medicine) Physician · Humble, TX
NPI 1902835895 · NPPES record last updated Feb 6, 2023
Key facts
- NPI
- 1902835895
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- Legal business name
- PROFESSIONAL IMAGING, PLLC
- Practice address
- 1717 Rotary Dr
Humble, TX 77338-5235 - Phone
- (866) 676-6277
- Fax
- (281) 272-6281
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Ben Louis Baumer
- Title
- Account Manager
- Phone
- (281) 272-6277
Practitioners 51
-
Joane Baumer, M.D.
-
Nathan B Baumer, M.D.
-
Christina L. Carnes, M.D.
-
Andrew Dela Garza, M.D.
-
Thomas S Falvey III, M.D.
-
Rolando Hinojosa, M.D.
-
John R Hudgins, M.D.
-
Janine Coles Islam, M.D.
-
Donna G Joule, MD
-
Vinay Madhukar Kamble, D.O.
-
Dimitri E. Latoni, M.D.
-
Louis Needleman, M.D.
-
Alice Rock, MD
-
Linda Jo Ruiz, M.D.
-
Gregory L Smith, MD
-
Derek Witteman, DO
-
Obinna Okoye, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041230000377 | TX | Part B Supplier - Clinic/Group Practice | 7012975527 | Receives reassigned benefits from 29 practitioners |
| O20230223002350 | IL | Part B Supplier - Clinic/Group Practice | 7012975527 |
Receives reassigned benefits from 1 practitioner Practice locations: Chicago, IL; Lisle, IL |
National Provider Directory
Locations (25 of 93)
1214 S Alamo Rd
Alamo, TX 78516
Phone (956) 715-8600
800 Coyote Trl
#3P
Alice, TX 78332
Phone (361) 666-3800
700 W 45th St
Austin, TX 78751
Phone (512) 323-0756
3921 N Main St
Baytown, TX 77521
Phone (281) 422-9541
795 Lindbergh Dr
Beaumont, TX 77707
Phone (409) 840-4618
2401 Development Blvd
#2X
Bellmead, TX 76705
Phone (254) 296-8976
4252 Bryant Irvin Rd
Benbrook, TX 76109
Phone (817) 738-2975
1300 Seven Oaks Rd
Bonham, TX 75418
Phone (903) 640-8387
1901 W Elliott St
Breckenridge, TX 76424
Phone (254) 559-3302
401 E Blue Bell Rd
#6A
Brenham, TX 77833
Phone (979) 836-6611
2104 N Karnes Ave
#3M
Cameron, TX 76520
Phone (254) 697-4985
2202 N Travis Ave
#3N
Cameron, TX 76520
Phone (254) 697-6564
8449 FM 471 S
#5D
Castroville, TX 78009
Phone (830) 931-2243
15101 East Fwy
Channelview, TX 77530
Phone (713) 626-3379
1000 FM 3220
Clifton, TX 76634
Phone (254) 675-2828
103 Sweetbriar Dr
Columbus, TX 78934
Phone (979) 732-5716
2900 Sterling Hart Dr
Commerce, TX 75428
Phone (903) 408-1102
2507 S Loop 336 W
Conroe, TX 77304
Phone (410) 207-6953
810 Industrial Ave
#3R
Copperas Cove, TX 76522
Phone (254) 547-9552
1150 E Loop 304
Crockett, TX 75835
Phone (936) 544-2051
13600 Birdcall Ln
#4E
Cypress, TX 77429
Phone (281) 447-7771
1505 S Closner Blvd
Edinburg, TX 78539
Phone (956) 383-5656
106 Del Norte Dr
El Campo, TX 77437
Phone (979) 543-6762
601 E Reunion St
#5V
Fairfield, TX 75840
Phone (903) 389-4121
624 N Converse St
#5Q
Flatonia, TX 78941
Phone (361) 865-3571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician |
207QG0300X | Yes | ||
| Diagnostic Radiology Physician |
2085R0202X |
Addresses
Primary practice location
1717 Rotary Dr
Humble, TX 77338-5235
Mailing address
6078 Bridgeview Dr
Ventura, CA 93003-1126
Phone (805) 293-1573
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007115656 | Other | TX | AETNA |
| 0073ML | Other | TX | BC/BS OF TEXAS |
| DD1023 | Other | TX | RAILROAD MEDICARE |
| 172298501 | Medicaid | TX |
Other providers in Humble, TX
- Private Home Healthcare,Inc.
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- Poe Prochaska
- Emily Proctor
- Professional Orthopedic Services, PA
- Prosper Path Group Home LLC
- Protec Ambulance Transport
- Provider Health Services LLC
- Provisioncare Medical
All providers in Humble, TX · Geriatric Medicine (Family Medicine) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.