DR. DEREK C DIFFENDAFFER M.D. NPI 1558629113

NPI Information

  • NPI: 1558629113
  • Provider Name: DR. DEREK C DIFFENDAFFER, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7600 W TIDWELL RD STE 103
    HOUSTON, TX
    ZIP 77040
  • Phone: (713) 461-3573

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NPI Details

DR. Derek C Diffendaffer, M.D. is a diagnostic radiology radiology in Houston, TX with 14 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Derek C Diffendaffer, M.D. NPI is 1558629113. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7600 W TIDWELL RD STE 103
HOUSTON, TX
ZIP 77040-719
Phone: (713) 461-3573

The NPI 1558629113 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Injection of contrast for imaging of shoulder joint (HCPCS:23350)
  • Ct scan of face without contrast (HCPCS:70486)

The enumeration date for this NPI number is 5/1/2012 and was last updated on 12/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyR9206TEXASYes
2390200000XStudent in an Organized Health Care Education/Training ProgramOKLAHOMANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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