Active NPI
Jarrod D. Dale, M.D.
- Diagnostic Radiology Physician
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- Q2534
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| Q2534 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Btdi JV, LLP | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Pinnacle Health Services of North Carolina, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Radiology One Medical Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Austin Radiological Association | Current | Accepting new patients | |
| University of Louisville Phyisicians, Inc. | Current | Accepting new patients | |
| Pinnacle Health Services of North Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| Boone Physician Services, LLC | Current | Accepting new patients | |
| Radiologists PA | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Fort Smith, AR
- NPI 1780651117
AR, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1700670197
Diagnostic Radiology, TX
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
KY
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
Diagnostic Radiology
-
- Emergency Medical Services (Emergency Medicine) Physician
- Maquoketa, IA
- NPI 1689705949
IA
-
- Rural Health Clinic/Center
- Mexico, MO
- NPI 1376380659
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 PCMunson Medical GroupRadiologists PABoone Physician Services LLCUniversity of Louisville Physicians Inc
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
- Mercy Hospital Paris
- Boone Hospital Center
- Mercy Hospital Booneville
- Mercy Hospital Waldron
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.