NPIMap

Organization Active NPI

Jeanes Radiology Associates LLC

Doing business as Akumin

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1639110240
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
JEANES RADIOLOGY ASSOCIATES LLC
Doing business as
Akumin
Practice address
1619 Grant Ave
Grant Plaza II
Philadelphia, PA 19115-3167
Phone
(215) 676-3300
Fax
(215) 677-0980
NPI assigned
Jun 8, 2006
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Jamie Williams
Title
Credentialing Supervisor
Phone
(754) 206-6226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X PA Primary

Addresses

Primary practice location

1619 Grant Ave
Grant Plaza II
Philadelphia, PA 19115-3167

Mailing address

1619 Grant Avenue
Philadelphia, PA 19115-3167
Phone (215) 676-3300

Other identifiers 1

IdentifierTypeStateIssuer
001221614MedicaidPA

Other names 1

  • Akumin Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, FL, IL, MN, NJ, GA, MD, NH, CO, NY, CA12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
O20040105000749 PA Part B Supplier - Clinic/Group Practice 1850290248 Receives reassigned benefits from 92 practitioners
Practice locations: Philadelphia, PA; Phoenixville, PA; Wynnewood, PA; Bala Cynwyd, PA; Easton, PA; Gladwyne, PA; Haverford, PA; Havertown, PA…
O20250710001197 OH Part B Supplier - Clinic/Group Practice 1850290248 Receives reassigned benefits from 3 practitioners
Practice locations: Dublin, OH; Portsmouth, OH; Toledo, OH
O20250723001864 FL Part B Supplier - Clinic/Group Practice 1850290248 Receives reassigned benefits from 8 practitioners
Practice locations: Santa Rosa Beach, FL; Palm City, FL; New Port Richey, FL; Jacksonville, FL; Ft Lauderdale, FL; Delray Beach, FL; Atlantic Beach, FL; Indialantic, FL
O20250916001014 IL Part B Supplier - Clinic/Group Practice 1850290248 Receives reassigned benefits from 1 practitioner
Practice locations: Western Springs, IL
O20251003001645 MN Part B Supplier - Clinic/Group Practice 1850290248 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, MN
O20251105000414 NJ Part B Supplier - Clinic/Group Practice 1850290248 Receives reassigned benefits from 3 practitioners
Practice locations: Collingswood, NJ; Edison, NJ; Freehold, NJ; Summit, NJ
O20251129000224 GA Part B Supplier - Clinic/Group Practice 1850290248 Receives reassigned benefits from 1 practitioner
Practice locations: Kennesaw, GA
O20251229000315 MD Part B Supplier - Clinic/Group Practice 1850290248 Receives reassigned benefits from 1 practitioner
Practice locations: Reisterstown, MD
O20260321000048 NH Part B Supplier - Clinic/Group Practice 1850290248 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, NH
O20260331000343 CO Part B Supplier - Clinic/Group Practice 1850290248 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO
O20260403000352 NY Part B Supplier - Clinic/Group Practice 1850290248 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20260515000924 CA Part B Supplier - Clinic/Group Practice 1850290248 Practice locations: Monterey Park, CA

National Provider Directory

National Provider Directory
Tax ID family
Jeanes Radiology Associates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

330 Middletown Blvd
Ste 401
Langhorne, PA 19047
Phone (215) 750-1717

8001 Roosevelt Blvd
Ste 103
Philadelphia, PA 19152
Phone (215) 331-9100

Practitioners & affiliated clinicians

Practitioners 126

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 126

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1639110240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 GRANT AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153167",
            "telephone_number": "215-676-3300",
            "fax_number": "215-677-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 GRANT AVE",
            "address_2": "GRANT PLAZA II",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153167",
            "telephone_number": "215-676-3300",
            "fax_number": "215-677-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANES RADIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "754-206-6226"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001221614",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Akumin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Akumin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.