Individual provider Active NPI

Anthony Raoul Jeanmenne, M.D.

  • Diagnostic Radiology Physician
  • Chapel Hill, NC
National Provider Identifier
1326276437
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2021-02302 Issued in NC
Practice address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone
(984) 974-1000
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A128253 CA
Diagnostic Radiology Physician 2085R0202X 125-055922 IL
Diagnostic Radiology Physician 2085R0202X 2021-02302 NC Primary

Addresses

Primary practice location

101 Manning Dr
Chapel Hill, NC 27514-4220

Mailing address

8899 University Center LN
Suite 370
San Diego, CA 92122-1013

Other practice location 1

8899 University Center Ln
Suite 370
San Diego, CA 92122-1013
Phone (858) 246-1021

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajeanmenne721118@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN, NC, AZ, FL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20140808001407 CA Practitioner - Diagnostic Radiology 0345467783 Reassigns benefits to 1 organization
I20150720002504 MN Practitioner - Diagnostic Radiology 0345467783 Reassigns benefits to 1 organization
I20210908003527 NC Practitioner - Diagnostic Radiology 0345467783 Reassigns benefits to 2 organizations
I20231120001664 AZ Practitioner - Diagnostic Radiology 0345467783 Reassigns benefits to 1 organization
I20260130002966 FL Practitioner - Diagnostic Radiology 0345467783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Southern Illinois University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians
QMG, LLCGroup PAC ID 2961590435, 30 clinicians
Impression Imaging LLCGroup PAC ID 1759547979, 34 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

1208 Montvale Ridge Dr
Cary, NC 27519-1014
Phone (919) 804-1234

20803 Biscayne Blvd
Suite 103
Aventura, FL 33180-1429
Phone (786) 668-2525

310 W 41St St
Miami Beach, FL 33140-3603
Phone (305) 532-7460

3111 N University Dr
Suite 115
Coral Springs, FL 33065-5049
Phone (954) 580-2780

5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840

6853 SW 18TH St
Suite 101
Boca Raton, FL 33433-7056
Phone (561) 473-4610

7180 N University Dr
Tamarac, FL 33321-2916
Phone (954) 580-2780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128253CAMDDiagnostic Radiology Physician
125-055922ILMDDiagnostic Radiology Physician
2021-02302NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Cdi Twin Cities ASC LLC Current Accepting new patients
Banner-University Medical Group CurrentSince Dec 24, 2023 Accepting new patients
Impression Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Banner-University Medical Group Diagnostic Radiology Current Accepting new patients
Precision Imaging St. Augustine, LLC CurrentSince Mar 25, 2026 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
QMG, LLC Diagnostic Radiology CurrentSince Nov 7, 2025 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Aug 24, 2021 Accepting new patients
Banner-University Medical Group CurrentSince Dec 24, 2023 Accepting new patients

Locations

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

4291 N Campbell Ave
Tucson, AZ 85719
Phone (520) 425-8900

265 W Ina Rd
Tucson, AZ 85704
Phone (520) 694-8000

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

8899 University Center Ln
Ste 370
San Diego, CA 92122
Phone (858) 246-1011

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

20803 Biscayne Blvd
Ste 10
Aventura, FL 33180
Phone (786) 668-2525

210 S Federal Hwy
Ste 403
Hollywood, FL 33020
Phone (954) 929-3449

9050 Pines Blvd
Ste 170
Pembroke Pines, FL 33024
Phone (954) 431-7627

964 S Orlando Ave
Winter Park, FL 32789
Phone (407) 628-5051

10206 Lantern Rd
Fishers, IN 46037
Phone (317) 598-1133

166 19th St S
Ste 100
Sartell, MN 56377

5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338

5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Phone (952) 525-6338

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

33801 1st Way S
Ste 101
Federal Way, WA 98003
Phone (253) 942-7226

Interoperability endpoints

  • Direct secure messaging: ajeanmenne721118@direct.unc.nchie.net

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1326276437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 UNIVERSITY CENTER LN",
            "address_2": "SUITE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221013",
            "fax_number": "858-552-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "984-974-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8899 University Center Ln",
            "address_2": "Suite 370",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921221013",
            "country_code": "US",
            "telephone_number": "858-246-1021",
            "fax_number": "858-552-9126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEANMENNE",
        "first_name": "ANTHONY",
        "middle_name": "RAOUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A128253",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125-055922",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2021-02302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajeanmenne721118@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "101 Manning Dr",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275144220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.