NPIMap

Organization Active NPI

Blue Star Radiology Associates

  • Diagnostic Radiology Physician
  • Flower Mound, TX
National Provider Identifier
1265745632
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BLUE STAR RADIOLOGY ASSOCIATES
Practice address
3000 Corporate CT
Suite 400
Flower Mound, TX 75028-2299
Phone
(214) 647-6165
Fax
(214) 647-6166
NPI assigned
Jul 14, 2010
Last updated
May 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Dr. Michael Brian Jones, MDNPI 1265431514
Title
President
Phone
(214) 647-6165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3000 Corporate CT
Suite 400
Flower Mound, TX 75028-2299

Mailing address

3000 Corporate CT
Suite 400
Flower Mound, TX 75028-2299
Phone (214) 647-6165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111017000222 TX Part B Supplier - Clinic/Group Practice 4981876919 Receives reassigned benefits from 28 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

3000 Corporate Ct
Flower Mound, TX 75028

3000 Corporate Ct
Ste 400
Flower Mound, TX 75028
Phone (214) 647-6161

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1265745632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CORPORATE CT",
            "address_2": "SUITE 400",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282299",
            "telephone_number": "214-647-6165",
            "fax_number": "214-647-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORPORATE CT",
            "address_2": "SUITE 400",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282299",
            "telephone_number": "214-647-6165",
            "fax_number": "214-647-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-647-6165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.