Individual provider Active NPI

Michael Joseph Everton, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1063676807
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R7727 Issued in TX
Practice address
4094 4TH Ave
Suite 200, MC 0834
San Diego, CA 92103-2143
Phone
(312) 282-2638
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125054416 IL
Diagnostic Radiology Physician 2085R0202X A124040 CA
Diagnostic Radiology Physician 2085R0202X R7727 TX Primary

Addresses

Primary practice location

4094 4TH Ave
Suite 200, MC 0834
San Diego, CA 92103-2143

Mailing address

4094 4TH Ave
Suite 200, MC 0834
San Diego, CA 92103-2143
Phone (312) 282-2638

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
I20181217003032 TX Practitioner - Diagnostic Radiology 9739329038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3900 Junius St
Suite 200
Dallas, TX 75246-1629
Phone (214) 820-3216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125054416ILMDInternal Medicine Physician
A124040CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Oct 1, 2018 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Dec 1, 2022 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV, LLP CurrentSince Jul 12, 2022 Accepting new patients
Btdi JV LLP CurrentSince Feb 1, 2022 Accepting new patients
Btdi JV LLP CurrentSince Oct 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Aug 18, 2021 Accepting new patients
Btdi JV LLP CurrentSince Feb 1, 2025 Accepting new patients
Blue Stone JV LLP CurrentSince Apr 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Sep 10, 2018 Accepting new patients
Btdi JV LLP CurrentSince Oct 1, 2018 Accepting new patients
Btdi JV LLP CurrentSince Oct 1, 2018 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Oct 1, 2018 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Baylor University Medical Center Past Accepting new patients

Locations (25 of 56)

1957 Antilley Rd
Abilene, TX 79606
Phone (325) 690-3854

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

707 Highlander Blvd
Arlington, TX 76015
Phone (817) 307-7533

690 N 14th St
Beaumont, TX 77702
Phone (409) 899-7047

1612 Hospital Pkwy
Bedford, TX 76022
Phone (817) 685-4700

294 Uptown Blvd
Ste 110
Cedar Hill, TX 75104
Phone (214) 820-2430

294 Uptown Blvd
Cedar Hill, TX 75104
Phone (972) 293-3569

3920 Worth St
Dallas, TX 75246
Phone (214) 443-3000

9301 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 389-9130

9109 N Central Expy
Ste 200
Dallas, TX 75231

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

411 N Washington Ave
Ste 1000
Dallas, TX 75246
Phone (214) 820-8770

712 N Washington Ave
Ste 102
Dallas, TX 75246
Phone (214) 515-0016

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

9109 N Central Expy
Ste 100
Dallas, TX 75231

1441 W Jefferson Blvd
Dallas, TX 75208

3900 Junius St
Ste 200
Dallas, TX 75246
Phone (214) 820-2430

3600 Gaston Ave
Ste 404
Dallas, TX 75246
Phone (214) 824-6718

3500 Gaston Ave
Dallas, TX 75246

6301 Gaston Ave
Ste 180
Dallas, TX 75214
Phone (214) 826-6700

3720 S Interstate 35 E
Denton, TX 76210
Phone (940) 382-1022

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

1263 W Rosedale St
Ste 105
Fort Worth, TX 76104
Phone (817) 335-5370

1701 W Rosedale St
Fort Worth, TX 76104
Phone (817) 922-7780

Organizations & group practices 23

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.

View all 23

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1063676807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4094 4TH AVE",
            "address_2": "SUITE 200, MC 0834",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032143",
            "telephone_number": "312-282-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4094 4TH AVE",
            "address_2": "SUITE 200, MC 0834",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032143",
            "telephone_number": "312-282-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERTON",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125054416",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A124040",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R7727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.