St Jude Radiology Medical Group Inc

A Medicare group practice based in Fullerton, CA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 7214838002), with 120 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7214838002The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AL, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IN, KS, KY, LA, MA, MD, MI, MN, MS, NC, NE, NJ, NM, NY, OK, OR, PA, PR, TN, TX, UT, VA, VT, WA, WI, WY
Enrollments
36
Group size
61 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
172In 131 places

Enrollment records 36

Enrollment IDStateProvider typeNPI
O20210308002102 KY Part B Supplier - Clinic/Group Practice 1649349705
O20200106000430 NJ Part B Supplier - Clinic/Group Practice 1649349705
O20191217001423 CT Part B Supplier - Clinic/Group Practice 1649349705
O20220816000625 VT Part B Supplier - Clinic/Group Practice 1649349705
O20181016000715 VA Part B Supplier - Clinic/Group Practice 1649349705
O20181108001884 KS Part B Supplier - Clinic/Group Practice 1649349705
O20181204001128 FL Part B Supplier - Clinic/Group Practice 1649349705
O20210916003373 NY Part B Supplier - Clinic/Group Practice 1649349705
O20210611001473 UT Part B Supplier - Clinic/Group Practice 1649349705
O20200914001259 MI Part B Supplier - Clinic/Group Practice 1649349705
O20220503002319 OK Part B Supplier - Clinic/Group Practice 1649349705
O20220301000666 MA Part B Supplier - Clinic/Group Practice 1649349705
O20220216001609 PR Part B Supplier - Clinic/Group Practice 1649349705
O20220224001982 MS Part B Supplier - Clinic/Group Practice 1649349705
O20211214002583 MN Part B Supplier - Clinic/Group Practice 1649349705
O20211215002452 PA Part B Supplier - Clinic/Group Practice 1649349705
O20120314000543 MD Part B Supplier - Clinic/Group Practice 1649349705
O20171026000450 OR Part B Supplier - Clinic/Group Practice 1649349705
O20170908001808 DC Part B Supplier - Clinic/Group Practice 1649349705
O20171017003707 WY Part B Supplier - Clinic/Group Practice 1649349705
O20171002003522 HI Part B Supplier - Clinic/Group Practice 1649349705
O20170927002399 WA Part B Supplier - Clinic/Group Practice 1649349705
O20170929000295 WI Part B Supplier - Clinic/Group Practice 1649349705
O20180117001675 NE Part B Supplier - Clinic/Group Practice 1649349705
O20171207002055 TN Part B Supplier - Clinic/Group Practice 1649349705
O20171211000367 CO Part B Supplier - Clinic/Group Practice 1649349705
O20171229001396 AZ Part B Supplier - Clinic/Group Practice 1649349705
O20171218001241 TX Part B Supplier - Clinic/Group Practice 1649349705
O20040115000501 CA Part B Supplier - Clinic/Group Practice 1649349705
O20240112002982 NC Part B Supplier - Clinic/Group Practice 1649349705
O20231219002707 DE Part B Supplier - Clinic/Group Practice 1649349705
O20240119001105 LA Part B Supplier - Clinic/Group Practice 1649349705
O20250320000645 GA Part B Supplier - Clinic/Group Practice 1649349705
O20250311002965 IN Part B Supplier - Clinic/Group Practice 1649349705
O20240618002512 NM Part B Supplier - Clinic/Group Practice 1649349705
O20241015003721 AL Part B Supplier - Clinic/Group Practice 1649349705

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (91)
  • Rancho Mission Viejo, CA1
  • Pleasanton, CA1
  • Paso Robles, CA1
  • Newport Coast, CA1
  • Marina del Rey, CA1
  • Roseville, CA1
  • Albuquerque, NM1
  • Trussville, AL1
  • Atlanta, GA1
  • Crown Point, IN1
  • Magnolia, DE1
  • Fayetteville, NC1
  • Chapel Hill, NC1
  • New Orleans, LA1
  • Salt Lake City, UT1
  • Axtell, UT1
  • Detroit, MI1
  • Royal Oak, MI1
  • Novi, MI1
  • Lexington, KY1
  • Crestwood, KY1
  • Louisville, KY1
  • Killington, VT1
  • East Dorset, VT1
  • New Haven, CT1
  • Woodbridge, CT1
  • Hoboken, NJ1
  • Jersey City, NJ1
  • Tinton Falls, NJ1
  • Sugar Land, TX1
  • Plano, TX1
  • Longview, TX1
  • Tyler, TX1
  • Houston, TX1
  • Littleton, CO1
  • Dallas, TX1
  • Austin, TX1
  • Scottsdale, AZ1
  • Chandler, AZ1
  • Kenmore, WA1
  • Verona, WI1
  • Franklin, WI1
  • Potomac, MD1
  • Eau Claire, WI1
  • Kailua, HI1
  • Haleiwa, HI1
  • Kaneohe, HI1
  • Bethesda, MD1
  • Kapaa, HI1
  • Kensington, MD1
  • Jackson, WY1
  • Beaverton, OR1
  • Corvallis, OR1
  • Newberg, OR1
  • Portland, OR1
  • Wilson, WY1
  • Danville, VA1
  • Charlottesville, VA1
  • Williamsburg, VA1
  • Leesburg, VA1
  • Hillsboro, VA1
  • St Petersburg, FL1
  • Hutchinson, KS1
  • Lawrence, KS1
  • Wesley Chapel, FL1
  • Tampa, FL1
  • Lake Mary, FL1
  • Olathe, KS1
  • Lantana, FL1
  • Miami Beach, FL1
  • Overland Park, KS1
  • Orlando, FL1
  • Oviedo, FL1
  • Topeka, KS1
  • Seminole, FL1
  • Shalimar, FL1
  • Tulsa, OK1
  • Oklahoma City, OK1
  • Nichols Hills, OK1
  • Stillwater, OK1
  • Girard, PA1
  • Lewisburg, PA1
  • Edina, MN1
  • Valley Stream, NY1
  • Cornwall, NY1
  • Poughkeepsie, NY1
  • Oyster Bay, NY1
  • North Grafton, MA1
  • Ocean Springs, MS1
  • Hopkinton, MA1
  • Framingham, MA1

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
80.79 of 100Reported as group, on the record of 24 clinicians in this group
Quality
75.74
Improvement activities
40

Clinicians 120

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (119) or whom Care Compare lists as members (61).

Sources for this page