Individual provider Active NPI

James L Jean, M.D.

  • Diagnostic Radiology Physician
  • Texarkana, TX
National Provider Identifier
1376534966
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K7306 Issued in TX
Practice address
4102 Richmond MDWS
Texarkana, TX 75503-0067
Phone
(903) 223-1014
Fax
(903) 223-1028
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 K7306 TX Primary

Addresses

Primary practice location

4102 Richmond MDWS
Texarkana, TX 75503-0067

Mailing address

PO Box 5667
Texarkana, TX 75505-5667
Phone (903) 223-1014

Other identifiers 2

IdentifierTypeStateIssuer
149875001MedicaidAR
141285002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040424000121 TX Practitioner - Diagnostic Radiology 5698761542 Reassigns benefits to 2 organizations
I20230918000016 FL Practitioner - Diagnostic Radiology 5698761542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arkansas College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohri LLCGroup PAC ID 4981912169, 130 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
Vista Radiology, PCGroup PAC ID 9234041559, 64 clinicians

Practice addresses (Care Compare)

398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

7 Red Oak LN
Texarkana, TX 75503-9344
Phone (865) 595-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7306TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RFC Radiology Associates LLC Diagnostic Radiology CurrentSince Feb 14, 2024 Accepting new patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Nov 2, 2023 Accepting new patients
Ohri, LLC Diagnostic Radiology Current Accepting new patients
Vista Radiology, PC. Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Ohri, LLC CurrentSince Jul 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Ohri, LLC CurrentSince Jul 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Bayfront Health Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Imagecare Radiology PLLC Diagnostic Radiology PastSince Jan 14, 2024 Accepting new patients

Locations

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

52 Underwood St
#153
Orlando, FL 32806
Phone (321) 841-2558

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

2201 Central Ave
#100
St Petersburg, FL 33713
Phone (727) 321-7057

Dept 888302
Knoxville, TN 37995

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1376534966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5667",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755055667",
            "telephone_number": "903-223-1014",
            "fax_number": "903-223-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 RICHMOND MDWS",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030067",
            "telephone_number": "903-223-1014",
            "fax_number": "903-223-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K7306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149875001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141285002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.