Individual provider Active NPI

Jeffrey M. Radack, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • McKinney, TX
National Provider Identifier
1679667430
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1617 Issued in TX
Practice address
8951 Collin McKinney Pkwy
Ste 603
McKinney, TX 75070-8294
Phone
(469) 742-0406
Fax
(469) 952-2806
NPI assigned
Oct 3, 2006
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1617 TX Primary

Addresses

Primary practice location

8951 Collin McKinney Pkwy
Ste 603
McKinney, TX 75070-8294

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472

Other practice location 1

670 N MacArthur Blvd
Coppell, TX 75019-2710
Phone (469) 742-0406

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031202000163 TX Practitioner - Podiatry 4385548791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

8951 Collin McKinney Pkwy
Suite 603
McKinney, TX 75070-1007
Phone (469) 742-0406

Merit-based Incentive Payment System (MIPS)

Final score
70.97 of 100Reported as group
Quality
43.69
Promoting interoperability
91
Improvement activities
40
Cost
67.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions27
Removal of nail tissue108
Removal or shaving of skin growth96
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC Foot & Ankle Surgery CurrentSince Jun 1, 2019 Accepting new patients
Interventional Partners PLLC Foot & Ankle Surgery CurrentSince Jun 1, 2019 Accepting new patients
Metroplex Foot and Ankle, LLP Foot & Ankle Surgery Past Accepting new patients

Locations

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660

670 N MacArthur Blvd
Ste 100
Coppell, TX 75019
Phone (972) 745-4446

3600 Gaston Ave
Ste 1056
Dallas, TX 75246
Phone (214) 827-8864

8135 Forest Ln
Dallas, TX 75230
Phone (469) 850-5760

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

8080 State Highway 121
Ste 200
McKinney, TX 75070
Phone (972) 359-0733

8951 Collin McKinney Pkwy
McKinney, TX 75070
Phone (254) 749-2906

8951 Collin McKinney Pkwy
#M
McKinney, TX 75070
Phone (469) 742-0406

8951 Collin McKinney Pkwy
Ste 603
McKinney, TX 75070
Phone (469) 742-0406

3201 George Bush Hwy
Ste 106
Richardson, TX 75082
Phone (214) 217-3668

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/metroplexfa
  • Direct secure messaging: jeffrey.radack.1@2477.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1679667430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 COLLIN MCKINNEY PKWY",
            "address_2": "STE 603",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708294",
            "telephone_number": "469-742-0406",
            "fax_number": "469-952-2806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750192710",
            "country_code": "US",
            "telephone_number": "469-742-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADACK",
        "first_name": "JEFFREY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.