Individual provider Active NPI

Ebrahim S Delpassand, M.D.

  • Nuclear Radiology Physician
  • Houston, TX
National Provider Identifier
1912923467
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
H8621 Issued in TX
Practice address
9701 Richmond Ave
Suite 122
Houston, TX 77042-4633
Phone
(713) 781-6200
Fax
(713) 781-6206
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X H8621 TX Primary

Addresses

Primary practice location

9701 Richmond Ave
Suite 122
Houston, TX 77042-4633

Mailing address

9701 Richmond Ave
Suite 122
Houston, TX 77042-4633
Phone (713) 781-6200

Other identifiers 1

IdentifierTypeStateIssuer
H8621OtherTXSTATE LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301001100 TX Practitioner - Nuclear Medicine 6406756311 Reassigns benefits to 1 organization
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9701 Richmond Ave
Houston, TX 77042-4622
Phone (713) 781-6200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8621TXMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Nuclear Imaging, LP CurrentSince Mar 1, 1992 Accepting new patients
Nuclear Imaging Associates PastSince Jan 1, 1990 Accepting new patients
Cardiovascular CT Imaging of Houston LP PastSince Nov 1, 2006 Accepting new patients
Westchase Clinical PLLC PastSince Sep 2, 2014 Accepting new patients

Locations

9701 Richmond Ave
Ste 122
Houston, TX 77042
Phone (713) 781-6200

1213 Hermann Dr
Ste 885
Houston, TX 77004
Phone (713) 523-6700

9701 Richmond Ave
Ste 110
Houston, TX 77042
Phone (713) 523-6700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912923467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 RICHMOND AVE",
            "address_2": "SUITE 122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770424633",
            "telephone_number": "713-781-6200",
            "fax_number": "713-781-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 RICHMOND AVE",
            "address_2": "SUITE 122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770424633",
            "telephone_number": "713-781-6200",
            "fax_number": "713-781-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELPASSAND",
        "first_name": "EBRAHIM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "TX",
            "license": "H8621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "H8621",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.