Tamara Jackson, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

336086917 Issued in IL

Practice address

469 W Huron St
Apt 810
Chicago, IL 60654-3467

Phone

(615) 423-9253

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, WA, ID, CA4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Vanderbilt University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates PAGroup PAC ID 7517953912, 103 clinicians

Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians

Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians

Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians

Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians

Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians

Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians

Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians

Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians

Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Central Washington Health Services AssociationGroup PAC ID 4880504596, 708 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
• Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025
• Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
• St Vincent Medical Center/North Hospital, Sherwood, AR, CCN 040137
• Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 34)

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.

• Central Washington Health Services Association

  • Emergency Medical Services (Emergency Medicine) Physician
  • Wenatchee, WA
  • NPI 1801937453
  Medicare reassignment Care Compare group NPD
• Evergreen Radia LLC

  • Diagnostic Radiology Physician
  • Kirkland, WA
  • NPI 1922095694
  Medicare reassignment Care Compare group NPD
• Medford Radiological Group, PC

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1407938111

  WA

  Medicare reassignment Care Compare group NPD
• Radia California Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Santa Rosa, CA
  • NPI 1740982032

  WA

  Medicare reassignment Care Compare group NPD
• Radia Inc P S

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607

  ID

  Medicare reassignment Care Compare group NPD
• Radia Oregon Radiology Medical Group LLC

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1073385423

  WA

  Medicare reassignment Care Compare group NPD
• Radiology Associates PA

  • Diagnostic Radiology Physician
  • Little Rock, AR
  • NPI 1366438186

  WA

  Medicare reassignment Care Compare group NPD
• Swedish Health Services

  • Body Imaging Physician
  • Everett, WA
  • NPI 1114356904
  Medicare reassignment Care Compare group NPD
• Swedish Health Services

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1689612954
  Medicare reassignment Care Compare group NPD
• Swedish Radia Imaging Center at Edmonds LLC

  • Diagnostic Radiology Physician
  • Edmonds, WA
  • NPI 1164494373
  Medicare reassignment Care Compare group NPD
• Tower Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1023315074

  Neuroradiology, WA

  Medicare reassignment Care Compare group NPD
• Yakima Valley Memorial Physicians

  • General Acute Care Hospital
  • Yakima, WA
  • NPI 1306933940
  Medicare reassignment Care Compare group NPD

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

• Asante

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1770587107
  Care Compare affiliation
• Providence Health & Services-Wa

  • Hospitalist Physician
  • Everett, WA
  • NPI 1649615220
  Care Compare affiliation
• Providence Health & Services-Wa

  • General Acute Care Hospital
  • Everett, WA
  • NPI 1700037801
  Care Compare affiliation
• Providence Health System Southern California

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1902844988
  Care Compare affiliation
• St. Vincent Infirmary Medical Center

  • General Acute Care Hospital
  • Sherwood, AR
  • NPI 1629011002
  Care Compare affiliation
• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1356496582
  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1184771073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 W HURON ST APT 810",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543457",
            "telephone_number": "615-423-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 W HURON ST",
            "address_2": "APT 810",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543467",
            "telephone_number": "615-423-9253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TAMARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61483697",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "336086917",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanel Jackson
• Sharonnatta Jackson
• Shawntell Jackson, MSN,FNP-BC
• Simarah Jackson
• Stacy Jackson, LCSW
• Tamara A Jackson, RN
• Tamica D Jackson, LCPC
• Tamika Elise Jackson
• Taraniquewa Jackson
• Tasha Jackson, LPC

• Neuroradiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Neuroradiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.

Verify at the official NPI Registry.