Individual provider Active NPI

Joseph A Nightingale, MD

  • Diagnostic Radiology Physician
  • Port Arthur, TX
National Provider Identifier
1073577656
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J6022 Issued in TX
Practice address
8801 9TH Ave
Port Arthur, TX 77642-8013
Phone
(409) 724-3600
Fax
(985) 646-0750
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 J6022 TX Primary

Addresses

Primary practice location

8801 9TH Ave
Port Arthur, TX 77642-8013

Mailing address

PO Box 2409
Indianapolis, IN 46206-2409
Phone (800) 550-5606

Other practice location 1

2555 Jimmy Johnson Blvd
Port Arthur, TX 77643
Phone (409) 853-5863

Other practice location 2

709 Little Jeff Dr
Port Neches, TX 77651-4822
Phone (409) 729-5400

Other practice location 3

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

Other practice location 4

755 N 11th St
Beaumont, TX 77702-1500
Phone (409) 899-7500

Other practice location 5

3650 Laurel St
Beaumont, TX 77707-2216
Phone (409) 838-0346

Other practice location 6

6901 Medical Center Dr Ste 100
Orange, TX 77630-1410
Phone (409) 792-6500

Other practice location 7

1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461

Other identifiers 1

IdentifierTypeStateIssuer
100766802MedicaidTX

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
I20041013000553 TX Practitioner - Diagnostic RadiologyPractitioner - General Practice 5597725663 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Texas Imaging LLPGroup PAC ID 3779566906, 3 clinicians

Practice addresses (Care Compare)

8801 9TH Ave
Port Arthur, TX 77642-8013
Phone (409) 724-3600

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Riceland Medical Center Hospital, Winnie, TX, CCN 451328
  • The Medical Center of Southeast Texas Hospital, Port Arthur, TX, CCN 450518

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Texas Imaging LLP Diagnostic Radiology CurrentSince Jun 29, 1998 Accepting new patients
North Star GV, LP CurrentSince Sep 7, 2019 Accepting new patients
Winnie Community Hospital LLC Current Accepting new patients
North Star CN, LP CurrentSince Sep 7, 2019 Accepting new patients
North Star MRI LP CurrentSince Sep 7, 2019 Accepting new patients
North Star MCD, LLC CurrentSince Sep 7, 2019 Accepting new patients
North Star MRI of Frisco LP CurrentSince Sep 7, 2019 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Sep 7, 2019 Accepting new patients
Winnie Community Hospital, L.L.C. CurrentSince Oct 2, 2017 Accepting new patients
North Star MCD, LLC Current Accepting new patients
North Star MCD LLC CurrentSince Sep 7, 2019 Accepting new patients
North Star FM, LP CurrentSince Sep 7, 2019 Accepting new patients
North Star Plano Parkway, LP CurrentSince Sep 7, 2019 Accepting new patients
North Star FP, LP CurrentSince Sep 7, 2019 Accepting new patients
Christus Health Southeast Texas Past Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology Past Accepting new patients

Locations

997 Raintree Cir
Ste 110
Allen, TX 75013

755 N 11th St
Ste D1091
Beaumont, TX 77702
Phone (409) 899-4143

3650 Laurel St
Beaumont, TX 77707
Phone (409) 838-0346

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3405 College St
Beaumont, TX 77701
Phone (409) 832-2211

755 N 11th St
Beaumont, TX 77702
Phone (409) 899-1499

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

8501 Wade Blvd
#220N
Frisco, TX 75034

2535 Ira E Woods Ave
Ste 101
Grapevine, TX 76051

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

205 E Lavielle St
Kirbyville, TX 75956
Phone (409) 423-2217

1323 S 27th St
Ste 700
Nederland, TX 77627
Phone (409) 729-5400

6901 Medical Center Dr
Ste 100
Orange, TX 77630
Phone (409) 792-6500

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

3015 Plaza Cir
Port Arthur, TX 77642
Phone (409) 982-7728

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

538 Broadway
Winnie, TX 77665
Phone (409) 296-6000

Organizations & group practices 16

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 16

Hospital & facility affiliations 5

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1073577656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2409",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062409",
            "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": "8801 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428013",
            "telephone_number": "409-724-3600",
            "fax_number": "985-646-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 Jimmy Johnson Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "77643",
            "country_code": "US",
            "telephone_number": "409-853-5863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 Little Jeff Dr",
            "address_purpose": "LOCATION",
            "city": "Port Neches",
            "state": "TX",
            "postal_code": "776514822",
            "country_code": "US",
            "telephone_number": "409-729-5400",
            "fax_number": "409-729-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2830 Calder St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021809",
            "country_code": "US",
            "telephone_number": "409-892-7171",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021500",
            "country_code": "US",
            "telephone_number": "409-899-7500",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Laurel St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777072216",
            "country_code": "US",
            "telephone_number": "409-838-0346",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 Medical Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "TX",
            "postal_code": "776301410",
            "country_code": "US",
            "telephone_number": "409-792-6500",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 Marvin Hancock Dr",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TX",
            "postal_code": "759514935",
            "country_code": "US",
            "telephone_number": "409-384-5461",
            "fax_number": "985-646-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGHTINGALE",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J6022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100766802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.