Jared Matthew Criddle, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

54613 Issued in AZ

Practice address

6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750

Phone

(480) 456-9000

NPI assigned

May 26, 2009

Last updated

May 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, AZ, SC3 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 3

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

University of Miami, LM Miller School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imaging Partners PLLCGroup PAC ID 1254654809, 9 clinicians

Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 30)

Interoperability endpoints

• Direct secure messaging: jared.criddle.p214@direct.aac.nextgenshare.com
• Direct secure messaging: jared.criddle.p55@direct.aac.nextgenshare.com
• Direct secure messaging: jcriddle33412@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastern Nephrology Associates PLLC

  • Nephrology Physician
  • Greenville, NC
  • NPI 1417083783
  Medicare reassignment Care Compare group NPD
• Imaging Partners PLLC

  • Diagnostic Radiology Physician
  • Morganton, NC
  • NPI 1184020547

  SC

  Medicare reassignment Care Compare group NPD
• Associated Valley Radiologists LTD

  • Diagnostic Radiology Physician
  • Glendale, AZ
  • NPI 1932683257
  Medicare reassignment NPD
• Evac LLC

  • Nephrology Physician
  • Chandler, AZ
  • NPI 1073772588
  Medicare reassignment NPD
• Coastal Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • New Bern, NC
  • NPI 1144270307

  SC

  Medicare reassignment NPD
• Quality Medical Imaging of Arizona, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Phoenix, AZ
  • NPI 1417124637
  NPD
• Direct Diagnostic Services, LLC

  • Physiological Laboratory
  • Charleston, SC
  • NPI 1801040274
  NPD
• Sonocare, LLC

  • Physiological Laboratory
  • Morganton, NC
  • NPI 1164527149
  NPD
• Banner Imaging Services LLC

  • Diagnostic Radiology Physician
  • Sun City, AZ
  • NPI 1770139958
  NPD (past)
• Eastern Radiologists Inc

  • Diagnostic Radiology Physician
  • Greenville, NC
  • NPI 1215990171
  NPD (past)

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1235364803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272530",
            "telephone_number": "602-521-6252",
            "fax_number": "623-842-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E BROADWAY RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061750",
            "telephone_number": "480-456-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 Newman Rd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285625238",
            "country_code": "US",
            "telephone_number": "843-467-2676",
            "fax_number": "843-497-9566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Carriage Ln Ste 108",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294076048",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Wamsutta Mill Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555521",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Wamsutta Mill Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555522",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIDDLE",
        "first_name": "JARED",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2016-01281",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "54613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01693581",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343555",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Cresanta, DNP-PMHNP-BC
• David Alonzo Cresap, FNP-C
• Rachelle Monique Crespo, LAC
• Colleen F Crews-Sipe, LISAC
• Crexmed
• Allen J Crimmins
• Natalie Sabrina Crisan, DO
• Crismon Peaks Assisted Living, LLC
• Crismon Road Dmso LLC
• Cali Crismon, LAC

• Diagnostic Radiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Diagnostic Radiology Physician in Arizona

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

Verify at the official NPI Registry.