Individual provider Active NPI

Jeremy Thomas Hall, M.D.

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1518386325
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
S4312 Issued in TX
Practice address
816 W Cannon St
Fort Worth, TX 76104-3146
Phone
(817) 321-0499
NPI assigned
Apr 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X S4312 TX
Diagnostic Radiology Physician 2085R0202X S4312 TX Primary

Addresses

Primary practice location

816 W Cannon St
Fort Worth, TX 76104-3146

Mailing address

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200713002071 TX Practitioner - Diagnostic Radiology 7012131907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Crawford Andrews and Davis PTRGroup PAC ID 6507814084, 47 clinicians
Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S4312TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Oct 16, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 7, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Oct 16, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Radiology Associates of North Texaspa Diagnostic Radiology CurrentSince Aug 3, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 7, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Crawford Andrews & Davis PTR Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Oct 16, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 16, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 7, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Oct 16, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Mar 14, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 16, 2023 Accepting new patients
Center for Molecular Imaging Limited Partnership CurrentSince Jan 1, 2022 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Oct 16, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 7, 2021 Accepting new patients
Swdic Imaging Center Partnership, LLP CurrentSince Jan 1, 2022 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

Organizations & group practices 34

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 34

Hospital & facility affiliations 5

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1518386325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JEREMY",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "S4312",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S4312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.