Individual provider Active NPI

Emily Jun, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1467865824
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD471975 Issued in PA
Practice address
2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone
(510) 689-9500
Fax
(877) 880-2039
NPI assigned
Jun 3, 2014
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.139090 OH
Diagnostic Radiology Physician 2085R0202X 54637 KY
Diagnostic Radiology Physician 2085R0202X MD471975 PA Primary
Diagnostic Radiology Physician 2085R0202X 2026-01858 NC
Diagnostic Radiology Physician 2085R0202X 66113 CT
Diagnostic Radiology Physician 2085R0202X S7465 TX
Diagnostic Radiology Physician 2085R0202X A160039 CA

Addresses

Primary practice location

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688

Mailing address

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone (510) 683-9100

Other practice location 1

757 Westwood Plz Ste 1638
Los Angeles, CA 90095-3018
Phone (310) 267-8796

Other practice location 2

1245 16th St
Santa Monica, CA 90404-1235
Phone (310) 301-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 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
I20190604000610 CA Practitioner - Diagnostic Radiology 8729311972 Reassigns benefits to 1 organization
I20201006002376 PA Practitioner - Diagnostic Radiology 8729311972 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Miami, LM Miller School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians
Central Illinois Radiological Associates LTDGroup PAC ID 9436061827, 205 clinicians

Practice addresses (Care Compare)

1 Henley Dr
Glen Mills, PA 19342-2606
Phone (614) 293-8315

111 Catherine Dr
Eynon, PA 18403-1254
Phone (614) 293-8315

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160039CAMDDiagnostic Radiology Physician
54637KYMDDiagnostic Radiology Physician
2026-01858NCMDDiagnostic Radiology Physician
35.139090OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2019 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2019 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Oct 15, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
UCLA Medical Group Diagnostic Radiology Past Accepting new patients
Ohio State University Hospitals Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

111 Spring St
Streator, IL 61364
Phone (815) 672-4587

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

Organizations & group practices 12

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1467865824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 OAK LAWN AVE UNIT 192749",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194688",
            "telephone_number": "510-683-9100",
            "fax_number": "877-880-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 OAK LAWN AVE UNIT 192749",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194688",
            "telephone_number": "510-689-9500",
            "fax_number": "877-880-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Westwood Plz Ste 1638",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953018",
            "country_code": "US",
            "telephone_number": "310-267-8796",
            "fax_number": "310-267-2059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 16th St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041235",
            "country_code": "US",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUN",
        "first_name": "EMILY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.139090",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "54637",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD471975",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2026-01858",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "66113",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S7465",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A160039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.