Individual provider Active NPI

Jannatun N Sikder, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1639674880
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
U9664 Issued in TX
Practice address
3500 Gaston Ave
Dallas, TX 75246-2017
Phone
(800) 841-4236
Fax
(800) 841-4236
NPI assigned
Mar 29, 2018
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 U9664 TX Primary

Addresses

Primary practice location

3500 Gaston Ave
Dallas, TX 75246-2017

Mailing address

PO Box 678253
Dallas, TX 75267-8253
Phone (800) 841-4236

Other practice location 1

20 York Street Department of Radiology
New Haven, CT 06510-3220
Phone (203) 688-4242

Other practice location 2

306 High Point Dr
Murphy, TX 75094-4152
Phone (800) 841-4236

Other identifiers 1

IdentifierTypeStateIssuer
63167OtherCTSTATE OF CT

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
I20240712001756 TX Practitioner - Diagnostic Radiology 1254667215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Sep 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Blue Stone JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Sep 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 3

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1639674880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678253",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678253",
            "telephone_number": "800-841-4236",
            "fax_number": "706-653-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "800-841-4236",
            "fax_number": "800-841-4236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York Street Department of Radiology",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 High Point Dr",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "TX",
            "postal_code": "750944152",
            "country_code": "US",
            "telephone_number": "800-841-4236",
            "fax_number": "706-653-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIKDER",
        "first_name": "JANNATUN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "U9664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT",
            "identifier": "63167",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.