Individual provider Active NPI

Jesse Jay Dalehite III, M.D.

  • Diagnostic Radiology Physician
  • Midland, TX
National Provider Identifier
1013977107
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G3266 Issued in TX
Practice address
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone
(432) 221-1111
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 G3266 TX Primary

Addresses

Primary practice location

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846

Mailing address

PO Box 1512
Lowell, AR 72745-1512
Phone (800) 550-5606

Other identifiers 1

IdentifierTypeStateIssuer
129298909MedicaidTX

Other names 1

  • Dr. Jess J Dalehite Former name

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
I20041105000855 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2062475502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Imaging PAGroup PAC ID 4688564586, 17 clinicians

Practice addresses (Care Compare)

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-4911

Hospital & facility affiliations

  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133
  • Medical Center Hospital Hospital, Odessa, TX, CCN 450132

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
86.59
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G3266TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Imaging PA Diagnostic Radiology CurrentSince Jan 1, 2009 Accepting new patients
Medical Imaging of Dallas, LLP PastSince Jun 30, 2004 Accepting new patients
Midland Memorial Outpatient Pharmacy Past Accepting new patients

Locations

4214 Andrews Hwy
Ste 103
Midland, TX 79703
Phone (432) 221-1301

1004 N Big Spring St
Ste 620
Midland, TX 79701
Phone (432) 570-1421

5615 Deauville
Ste 100
Midland, TX 79706
Phone (432) 682-9729

4214 Andrews Hwy
Midland, TX 79703
Phone (432) 522-2273

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

5615 Deauville
Ste 110
Midland, TX 79706

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1013977107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1512",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727451512",
            "telephone_number": "800-550-5606",
            "fax_number": "985-646-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015846",
            "telephone_number": "432-221-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEHITE",
        "first_name": "JESSE",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G3266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129298909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESS",
            "last_name": "DALEHITE",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.