Individual provider Active NPI

Jing Jiang, M.D

  • Diagnostic Radiology Physician
  • Round Rock, TX
National Provider Identifier
1578894853
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P0237 Issued in TX
Practice address
300 University Blvd
Round Rock, TX 78665
Phone
(512) 509-0100
Fax
(512) 218-6330
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD60139989 WA
General Acute Care Hospital 282N00000X MT-187804 PA
Diagnostic Radiology Physician 2085R0202X P0237 TX Primary

Addresses

Primary practice location

300 University Blvd
Round Rock, TX 78665

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

18202 Beargrass Ct
San Antonio, TX 78258-4417
Phone (303) 933-8270

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjiang473653@direct.sw.org Direct

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
I20110907000791 TX Practitioner - Diagnostic Radiology 3577696152 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

200 Medical Pkwy
Lakeway, TX 78738-1794

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

425 University Blvd
Round Rock, TX 78665-1053
Phone (512) 509-0200

5330 Overpass Rd
Buda, TX 78610-2300

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034
  • Baylor Scott & White Medical Center - Marble Falls Hospital, Marble Falls, TX, CCN 670108
  • Baylor Scott & White Medical Center Pflugerville Hospital, Pflugerville, TX, CCN 670128
  • Baylor Scott & White Medical Center- Austin Hospital, Austin, TX, CCN 670136
  • Baylor Scott & White Medical Center - Buda Hospital, Buda, TX, CCN 670131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0237TXMDDiagnostic Radiology Physician
MD60139989WAMDDiagnostic Radiology Physician
MT-187804PAMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Mar 15, 2019 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology Current Accepting new patients
Btdi JV, LLP CurrentSince May 16, 2019 Accepting new patients
Btdi JV, LLP CurrentSince Sep 1, 2023 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Mar 15, 2019 Accepting new patients
Btdi JV, LLP CurrentSince May 16, 2019 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Dec 1, 2018 Accepting new patients
South Texas Radiology Imaging Centers Diagnostic Radiology CurrentSince Apr 15, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Btdi JV, LLP CurrentSince May 16, 2019 Accepting new patients
Healthtexas Provider Network Family Medicine Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Integris Southwest Associates Past Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients

Locations

711 W 38th St
Ste B7
Austin, TX 78705
Phone (512) 454-9597

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

300 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100

21 Spurs Ln
Ste SL-140
San Antonio, TX 78240
Phone (210) 617-9100

7950 Floyd Curl Dr
Ste 200
San Antonio, TX 78229
Phone (210) 617-9800

8401 Datapoint Dr
Ste 600
San Antonio, TX 78229
Phone (210) 616-7796

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: jjiang473653@direct.sw.org

Organizations & group practices 15

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 15

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": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1578894853",
    "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": "254-724-2111"
        },
        {
            "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": "78665",
            "telephone_number": "512-509-0100",
            "fax_number": "512-218-6330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18202 Beargrass Ct",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584417",
            "country_code": "US",
            "telephone_number": "303-933-8270",
            "fax_number": "214-712-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIANG",
        "first_name": "JING",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60139989",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "MT-187804",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P0237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjiang473653@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 University Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78665",
            "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.