NPIMap

Individual provider Active NPI

Jeremy Charles Collette, MD, PHD

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1245596253
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R6762 Issued in TX
Practice address
7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone
(713) 621-7436
Fax
(612) 294-4903
NPI assigned
Apr 3, 2012
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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 R6762 TX Primary

Addresses

Primary practice location

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187

Mailing address

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone (713) 621-7436

Other practice location 1

2511 Knoll St
Houston, TX 77080
Phone (952) 595-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, AZ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190102000070 TX Practitioner - Diagnostic Radiology 7214272806 Reassigns benefits to 6 organizations
I20251015003799 WI Practitioner - Diagnostic Radiology 7214272806 Reassigns benefits to 1 organization
I20260406000213 AZ Practitioner - Diagnostic Radiology 7214272806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montrose Memorial Hospital, IncGroup PAC ID 1658272992, 148 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

Practice addresses (Care Compare)

Katy, TX 77494
Phone (310) 923-6963

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (713) 461-3573

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

11100 Shadow Creek Pkwy
Pearland, TX 77584-7285
Phone (713) 461-3573

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6100

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

1635 N Loop W
Memorial Hermann Greater Heights Hospital
Houston, TX 77008-1532
Phone (713) 867-2000

22999 Hwy 59 N
Humble, TX 77339-4412
Phone (713) 461-3573

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-7000

2511 Knoll St
Houston, TX 77080-4417
Phone (832) 915-2534

2617 Harvard Ave
San Angelo, TX 76904-5311
Phone 71346135732008

5011 Braesheather Dr
Houston, TX 77096-4204
Phone (832) 915-2534

504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (713) 461-3573

8780 Hwy 6 B
MH Conv Care Sienna Plantation
Friendswood, TX 77549
Phone (281) 778-1802

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Montrose Memorial Hospital, Inc Diagnostic Radiology CurrentSince Dec 20, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Oct 30, 2021 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Oct 16, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Oct 23, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Oct 31, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Oct 15, 2020 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients

Locations

5171 W Olive Ave
Glendale, AZ 85302
Phone (480) 732-7540

8310 W Camelback Rd
Glendale, AZ 85305
Phone (480) 307-9610

251 N Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 322-6900

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

29980 Network Pl
Chicago, IL 60673

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

7026 Old Katy Rd
Ste 276
Houston, TX 77024
Phone (713) 358-0562

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

143 S Gibson St
Medford, WI 54451
Phone (715) 748-2121

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 11

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1245596253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242187",
            "telephone_number": "713-621-7436",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242187",
            "telephone_number": "713-621-7436",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2511 Knoll St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77080",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLETTE",
        "first_name": "JEREMY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R6762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.