DR. JUSTIN THOLANY M.D.
NPI 1417903618
Radiology - Diagnostic Radiology in Houston, TX

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
83.13/100
CMS Quality Rating
7026 OLD KATY RD., SUITE 276, HOUSTON, TX 77024(713) 621-7436(713) 963-9051 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Justin Tholany M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN THOLANY M.D. (NPI 1417903618) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (L8974) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Rutgers New Jersey Medical School (1998).

NPPES Registry Identity

NPI1417903618
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JUSTIN THOLANYCredential: M.D.
Location Address7026 OLD KATY RD., SUITE 276Houston, TX 77024
Mailing Address7026 Old Katy Road, Suite 276Houston, TX 77024 · (713) 621-7436 · Fax (713) 963-9051
Fax(713) 963-9051
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1998
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 8, 2013
NPI 1417903618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · L8974
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7026 OLD KATY RD., Houston, TX 77024

Other Identifiers 8

Medicaid165436001TX
OtherP00101578TX · Medicare Railroad
Medicare UPINI06897TX
Other00J245TX · Medicare Group
Other10013919TX · Amerigroup
Other083133101TX · Medicaid Group
Medicare PIN8B7474TX
OtherCS7910TX · Medicare Railroad Group

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Tholany M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850374596
PECOS Enrollment IDI20040611001217
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
688 services635 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
224 services210 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
194 services193 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
174 services173 patients
Imaging for evaluation of swallowing function 74230
This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
139 services130 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
100 services97 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Conroe

Acute Care Hospitals · Conroe, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450222
Location504 Medical Center BlvdConroe, TX 77304 · Montgomery County
Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450847
Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.16
Improvement Activities40

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 Justin Tholany's NPI number?

The NPI number for Justin Tholany is 1417903618. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Justin Tholany located?

Justin Tholany practices at 7026 Old Katy Rd. Suite 276, Houston, TX 77024. The listed phone number is (713) 621-7436.

What is Justin Tholany's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Justin Tholany enrolled in Medicare?

Yes. Justin Tholany is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justin Tholany accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Justin Tholany as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Tholany affiliated with any hospitals?

According to CMS data, Justin Tholany is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Hca Houston Healthcare Conroe, Hca Houston Healthcare Kingwood and Memorial Hermann Katy Hospital.

When was this NPI record last updated?

The NPPES record for Justin Tholany was last updated on August 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.