Individual provider Active NPI

Jarrod D. Dale, M.D.

  • Diagnostic Radiology Physician
  • Round Rock, TX
National Provider Identifier
1457586562
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q2534 Issued in TX
Practice address
300 University Blvd
Round Rock, TX 78665-1032
Phone
(512) 509-0100
NPI assigned
May 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 62003 WI
Diagnostic Radiology Physician 2085R0202X Q2534 TX Primary

Addresses

Primary practice location

300 University Blvd
Round Rock, TX 78665-1032

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdale1319233@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX, TN, AR, MO, KY, IA, MI8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20140528002066 WI Practitioner - Diagnostic Radiology 8426271198 Reassigns benefits to 2 organizations
I20150605000383 TX Practitioner - Diagnostic Radiology 8426271198 Reassigns benefits to 3 organizations
I20220722002603 TN Practitioner - Diagnostic Radiology 8426271198
I20250722001746 AR Practitioner - Diagnostic Radiology 8426271198 Reassigns benefits to 1 organization
I20260114003856 MO Practitioner - Diagnostic Radiology 8426271198 Reassigns benefits to 1 organization
I20260127002972 KY Practitioner - Diagnostic Radiology 8426271198 Reassigns benefits to 1 organization
I20260327003597 IA Practitioner - Diagnostic Radiology 8426271198 Reassigns benefits to 1 organization
I20260508000314 MI Practitioner - Diagnostic Radiology 8426271198 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q2534TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Jan 15, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Jul 1, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jul 8, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jul 8, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jul 8, 2024 Accepting new patients
Radiology One Medical Group PC Diagnostic Radiology CurrentSince Oct 14, 2025 Accepting new patients
Austin Radiological Association CurrentSince Jul 1, 2015 Accepting new patients
University of Louisville Phyisicians, Inc. CurrentSince Jan 15, 2026 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Boone Physician Services, LLC CurrentSince Dec 13, 2025 Accepting new patients
Radiologists PA Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Radiology Services P a Diagnostic Radiology Past Accepting new patients

Locations

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1501 S Waldron Rd
Ste 109
Fort Smith, AR 72903
Phone (479) 242-3310

7752 Solution Ctr
Chicago, IL 60677

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology One Medical Group PC 41 clinicians
Munson Medical Group 191 clinicians
Radiologists PA 20 clinicians
Boone Physician Services LLC 243 clinicians
University of Louisville Physicians Inc 1,438 clinicians

Practice addresses (Care Compare)

Austin, TX 78730
Phone (918) 392-1702

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone (231) 398-1000

1501 S Waldron Rd
Suite 109
Fort Smith, AR 72903-2568
Phone (479) 474-1616

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

1600 E Broadway Box 50 Attn Stephanie Windsor
Columbia, MO 65201-5844

1705 E Broadway
Suite 280
Columbia, MO 65201-7185
Phone (573) 815-7119

224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 935-6181

302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-2644

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 852-5851

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8686

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Mercy Hospital Paris Hospital, Paris, AR, CCN 041300
  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • Mercy Hospital Booneville Hospital, Booneville, AR, CCN 041318
  • Mercy Hospital Waldron Hospital, Waldron, AR, CCN 041305

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1457586562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651032",
            "telephone_number": "512-509-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12554 Riata Vista Cir",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787276431",
            "country_code": "US",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALE",
        "first_name": "JARROD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "62003",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q2534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdale1319233@direct.sw.org",
            "affiliation": "N",
            "address_1": "300 University Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.