Active NPI
Jonathan L Patterson, M.D.
- Diagnostic Radiology Physician
- Milton, DE
National Provider Identifier
1053391953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- C10004811
- Practice address
- 611 Federal St Ste 4
Milton, DE 19968-1157 - Phone
- (302) 684-5151
- Fax
- (302) 684-1977
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D0065095 | MD | |
| Diagnostic Ultrasound Physician | 2085U0001X | C10004811 | DE | |
| Body Imaging Physician | 2085B0100X | C10004811 | DE | |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | C10004811 | DE | |
| Pediatric Radiology Physician | 2085P0229X | C10004811 | DE | |
| Diagnostic Radiology Physician | 2085R0202X | C10004811 | DE | Primary |
Addresses
Primary practice location
611 Federal St Ste 4
Milton, DE 19968-1157
Mailing address
611 Federal St Ste 4
Milton, DE 19968-1157
Phone (302) 684-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200064773 | Medicaid | DE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 3026841977 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Georgetown University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
611 Federal St
Suite 4
Milton, DE 19968-1157
Phone (302) 684-5151
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0065095 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Medical Imaging of Delaware, Inc. | Single Specialty | Current | Accepting new patients |
Locations
611 Federal St
Ste 4
Milton, DE 19968
Phone (302) 684-5151
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Milton, DE
- NPI 1164692240
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1053391953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 FEDERAL ST STE 4",
"city": "MILTON",
"state": "DE",
"postal_code": "199681157",
"telephone_number": "302-684-5151",
"fax_number": "302-684-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 FEDERAL ST STE 4",
"city": "MILTON",
"state": "DE",
"postal_code": "199681157",
"telephone_number": "302-684-5151",
"fax_number": "302-684-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JONATHAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0065095",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "DE",
"license": "C10004811",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": "DE",
"license": "C10004811",
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "DE",
"license": "C10004811",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "DE",
"license": "C10004811",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "DE",
"license": "C10004811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200064773",
"state": "DE"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "3026841977",
"affiliation": "N",
"endpointDescription": "fax",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "fax",
"address_1": "611 Federal St Ste 4",
"city": "Milton",
"state": "DE",
"country_code": "US",
"postal_code": "199681157",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milton, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.