Active NPI
Elizabeth Anne Bathala, MD
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME93778
- Practice address
- 1800 Barrs St
Jacksonville, FL 32204-4704 - Phone
- (904) 308-7300
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | N5558 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | ME93778 | FL | Primary |
Addresses
Primary practice location
1800 Barrs St
Jacksonville, FL 32204-4704
Mailing address
1320 S University Dr Ste 500
Fort Worth, TX 76107-5732
Phone (817) 321-0404
Other practice location 1
1320 S University Dr Ste 500
Fort Worth, TX 76107-5732
Phone (817) 321-0404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001492800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Drexel University College of Medicine, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
13168 Wexford Hollow Rd N
Jacksonville, FL 32224-8648
Phone (817) 321-0404
1670 St Vincents Way
Middleburg, FL 32068-8447
Phone (904) 308-1219
1726 Jeremiah St
Middleburg, FL 32068-8471
Phone (904) 388-6949
1800 Barrs St
Jacksonville, FL 32204-4704
Phone (904) 308-7300
205 Trinity Way
Saint Johns, FL 32259-1155
Phone (904) 308-7300
2345 Forbes St
Jacksonville, FL 32204-4311
Phone (904) 381-9994
4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone (904) 296-3700
6138 Kennerly Rd
Jacksonville, FL 32216-4393
Phone (904) 733-7770
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470
Hospital & facility affiliations
- Ascension St Vincent'S Riverside
- Ascension St Vincent'S Clay County
- Ascension St Vincent'S Southside
- Ascension St Vincent'S St Johns County
- Methodist Dallas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.44 of 100
- Quality
- 83.7
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N5558 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Doctors McClow Clark & Berk PA | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas | Current | Accepting new patients | |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Elite Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| North Florida Multispecialty Physicians LLC | Diagnostic Radiology | Past | Accepting new patients |
| Elite Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Clinical Care in Radiology | Past | Accepting new patients |
Locations
1800 Barrs St
Jacksonville, FL 32204
Phone (904) 387-4030
6488 103rd St
Jacksonville, FL 32210
Phone (904) 450-6810
2345 Forbes St
Jacksonville, FL 32204
Phone (904) 381-9994
10503 San Jose Blvd
Ste 100
Jacksonville, FL 32257
Phone (904) 710-3195
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
3316 3rd St S
Ste 101
Jax Bch, FL 32250
Phone (904) 241-7772
1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-3960
2001 County Road 210 W
Saint Johns, FL 32259
Phone (904) 450-6270
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
1320 S University Dr
Ste 500
Fort Worth, TX 76107
Phone (817) 321-0391
815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCHICA
- ebathala627970@christushealth.direct-ci.net
Organizations & group practices 19
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.
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1669420436
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
FL
-
- Diagnostic Radiology Physician
- Plano, TX
- NPI 1164829214
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1649753716
Diagnostic Radiology
-
- Physiological Laboratory
- Mansfield, TX
- NPI 1093045072
Diagnostic Radiology
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1104109552
Diagnostic Radiology
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1184356685
Diagnostic Radiology
-
- Physiological Laboratory
- Bedford, TX
- NPI 1215358957
Diagnostic Radiology
-
- Physiological Laboratory
- Mansfield, TX
- NPI 1295477974
Diagnostic Radiology
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1396166039
Diagnostic Radiology
-
- Physiological Laboratory
- Arlington, TX
- NPI 1689095325
Diagnostic Radiology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
-
- General Acute Care Hospital
- St. Johns, FL
- NPI 1861078651
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1447233713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 S UNIVERSITY DR STE 500",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761075732",
"telephone_number": "817-321-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BARRS ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044704",
"telephone_number": "904-308-7300"
}
],
"practiceLocations": [
{
"address_1": "1320 S University Dr Ste 500",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761075732",
"country_code": "US",
"telephone_number": "817-321-0404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATHALA",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "N5558",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME93778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001492800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.