Individual provider Active NPI

John Juarez Jr., MD

  • Diagnostic Radiology Physician
  • Temple, TX
National Provider Identifier
1588647663
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
F6808 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508
Phone
(254) 724-2111
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X F6808 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508

Mailing address

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

Other practice location 1

2201 S Clear Creek Rd
Killeen, TX 76549-4110
Phone (254) 519-8186

Other practice location 2

2201 S Clear Creek Rd
Killeen, TX 76549-4110
Phone (254) 519-8186

Other identifiers 5

IdentifierTypeStateIssuer
80594ROtherTXBLUE CROSS BLUE SHIELD
128966203OtherTXSUPERIOR CHIPS
742829967002OtherTXHUMANA/MILITARY-TRICARE
128966203MedicaidTX
300129144OtherTXMEDICARE RAILROAD

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
I20061108000574 TX Practitioner - Diagnostic Radiology 8729085568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 569-9481

575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F6808TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Medical Associates Family Medicine CurrentSince Aug 21, 2023 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince May 25, 2025 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Jun 7, 2021 Accepting new patients
VHS San Antonio Imaging Partners, LP Diagnostic Radiology PastSince Mar 9, 2017 Accepting new patients
Team Physicians of Texas PA Diagnostic Radiology Past Accepting new patients
Associates in Medicine, P.a. Past Accepting new patients
M&S Radiology Associates, PA Past Accepting new patients

Locations

608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531

860 S 8th St
Beaumont, TX 77701
Phone (409) 236-8700

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

12950 East Fwy
Houston, TX 77015
Phone (281) 338-3209

4543 Post Oak Place Dr
Houston, TX 77027
Phone (713) 797-1087

12930 East Fwy
Houston, TX 77015
Phone (281) 704-3836

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

2600 Highway 365
Nederland, TX 77627
Phone (409) 726-8700

8595 Medical Center Blvd
Port Arthur, TX 77640
Phone (409) 721-8600

2100 Preston St
Richmond, TX 77469
Phone (281) 232-2075

200 Stadium Dr
Seymour, TX 76380
Phone (940) 888-5572

123 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 364-0317

709 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-8070

1100 W Bluff St
Woodville, TX 75979
Phone (409) 283-6400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21774/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1588647663",
    "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": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76508",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 S Clear Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765494110",
            "country_code": "US",
            "telephone_number": "254-519-8186",
            "fax_number": "254-200-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 S Clear Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765494110",
            "country_code": "US",
            "telephone_number": "254-519-8186",
            "fax_number": "254-200-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "F6808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80594R",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR CHIPS",
            "identifier": "128966203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA/MILITARY-TRICARE",
            "identifier": "742829967002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128966203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "300129144",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.