NPIMap

Individual provider Active NPI

Jason W Skiles, DO

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1407813801
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M1351 Issued in TX
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Apr 28, 2006
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 M1351 TX Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628001430 TX Practitioner - Diagnostic Radiology 7618913872 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Texas HSC, College of Osteopathic Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians

Practice addresses (Care Compare)

184 Oakcrest Hills Dr
Aledo, TX 76008-2586
Phone (713) 461-3573

834 Stewart Dr
Dallas, TX 75208-3947
Phone (312) 724-8477

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1351TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 12, 2010 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Gateway Diagnostic Imaging Sherman, LLC CurrentSince Jun 8, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 12, 2010 Accepting new patients
Consultants in Radiology PA Diagnostic Radiology CurrentSince Jul 10, 2006 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

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

1845 Precinct Line Rd
Ste 209
Hurst, TX 76054
Phone (817) 336-4638

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

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

801 Eureka St
Weatherford, TX 76086

801 Eureka St
Weatherford, TX 76086

Organizations & group practices 8

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 10

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1407813801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILES",
        "first_name": "JASON",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M1351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.