Individual provider Active NPI

Ann Susan Hightower, MD

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1922095090
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G8865 Issued in TX
Practice address
1415 North Loop W
Suite 820
Houston, TX 77008-1664
Phone
(713) 861-8200
Fax
(713) 861-8261
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G8865 TX Primary

Addresses

Primary practice location

1415 North Loop W
Suite 820
Houston, TX 77008-1664

Mailing address

1415 North Loop W
Suite 820
Houston, TX 77008-1664
Phone (713) 861-8200

Other identifiers 1

IdentifierTypeStateIssuer
124862703MedicaidTX

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
I20111202000554 TX Practitioner - Diagnostic Radiology 3577738525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Radiology PAGroup PAC ID 2668432782, 39 clinicians

Practice addresses (Care Compare)

3310 Richmond Ave
Houston, TX 77098-3008
Phone (713) 589-5231

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8865TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Dec 30, 2014 Accepting new patients
Houston Cancer Institute PA CurrentSince Jun 27, 2024 Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients

Locations

2502 W Trenton Rd
Edinburg, TX 78539
Phone (956) 630-2119

2130 W Holcombe Blvd
#B
Houston, TX 77030

1140A Cypress Station Dr
Houston, TX 77090
Phone (281) 377-7555

3310 Richmond Ave
Houston, TX 77098
Phone (713) 400-3400

1220 Blalock Rd
Ste 205
Houston, TX 77055
Phone (713) 464-3343

2130 W Holcombe Blvd
Fl 10
Houston, TX 77030
Phone (713) 600-0900

1220 Blalock Rd
Ste 140
Houston, TX 77055
Phone (713) 722-0035

3322 E Walnut St
Ste 105
Pearland, TX 77581
Phone (281) 485-2201

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1922095090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W",
            "address_2": "SUITE 820",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081664",
            "telephone_number": "713-861-8200",
            "fax_number": "713-861-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W",
            "address_2": "SUITE 820",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081664",
            "telephone_number": "713-861-8200",
            "fax_number": "713-861-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "ANN",
        "middle_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G8865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124862703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.