ORIGIN DIAGNOSTICS LLC
NPI 1003799404
Clinic/Center - Radiology in Sugar Land, TX
About Origin Diagnostics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORIGIN DIAGNOSTICS LLC (NPI 1003799404) is a healthcare organization registered as a radiology in Sugar Land, Texas and active in the NPI registry since July 2025. The organization lists Ali Mazloom, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Origin Diagnostics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Origin Diagnostics LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (12)
Hammond, LA 70403
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Origin Diagnostics LLC's NPI number?
The NPI number for Origin Diagnostics LLC is 1003799404. It was assigned to this organization in the NPPES registry on July 31, 2025.
Where is Origin Diagnostics LLC located?
Origin Diagnostics LLC is located at 17227 W Grand Pkwy S Ste B, Sugar Land, TX 77479. The listed phone number is (281) 899-0019.
What is Origin Diagnostics LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
Is Origin Diagnostics LLC enrolled in Medicare?
Yes. Origin Diagnostics LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Origin Diagnostics LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Origin Diagnostics LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Origin Diagnostics LLC was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Origin Diagnostics Llc · NPI 1003799404
Radiology organization in Sugar Land, Texas. Organization record, active in the CMS NPPES registry since July 31, 2025.
## Identity
- **NPI:** 1003799404 (Entity type: Organization)
- **Enumerated:** July 31, 2025
- **Primary specialty:** Clinic/Center - Radiology · taxonomy 261QR0200X
- **Organization subpart:** No
- **Authorized official:** Ali Mazloom, CEO
## Practice location
- **Address:** 17227 W GRAND PKWY S STE B, Sugar Land, TX 77479-3689
- **Phone:** (281) 899-0019
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003799404) · Data from the CMS NPPES public registry.