Serena Jen, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R9783 Issued in TX

Practice address

816 W Cannon St
Fort Worth, TX 76104-3194

Phone

(817) 321-0404

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Diagnostic Radiology

Education

Southern Illinois University School of Medicine

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
• Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
• Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975
  Medicare reassignment Care Compare group
• Methodist-Cdi

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1164829214
  Medicare reassignment
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Dallas, TX
  • NPI 1144550369

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Allen, TX
  • NPI 1265762470

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1649753716

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Keller, TX
  • NPI 1861358061

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Flower Mound, TX
  • NPI 1942081153

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Southlake, TX
  • NPI 1023439767

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Plano, TX
  • NPI 1033492483

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Mansfield, TX
  • NPI 1093045072

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1104109552

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1184356685

  Diagnostic Radiology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Ark-la-Tex

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Midlothian, TX
  • NPI 1487271375
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1689629941
  Care Compare affiliation
• Texas Health Presbyterian Hospital Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1396779948
  Care Compare affiliation

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1699201509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043194",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043194",
            "telephone_number": "817-321-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 M St NW Fl 8",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200371434",
            "country_code": "US",
            "telephone_number": "210-741-3036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEN",
        "first_name": "SERENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD210001924",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R9783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery K Hawkins, MD, PLLC
• Jeffrey L. Morer, OD, PA
• Ashley Veronica Jeffrey, APRN, FNP
• Deborah L Jeffrey, PTA
• Serena Jeffreys, LPC
• Brian Knox Jenkins, MD
• Charnel Nicole Jenkins
• David Allen Jenkins, PHD, LCSW
• Ebony Jenkins, FNP-BC
• Eunice L Jenkins, PHD

• Diagnostic Radiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.