Active NPI
Jason Bryan Mitchell, MD
- Pediatric Radiology Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- C183038
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- Aug 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | C183038 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 036.120499 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 53818 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | C183038 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | DR.0069419 | CO |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Other practice location 1
2525 Chicago Ave S
Childrens Hospitals and Clinics of MN
Minneapolis, MN 55401
Phone (612) 813-8200
Other practice location 2
747 52nd St
Oakland, CA 94609-1809
Phone (510) 428-3000
Other practice location 3
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 848-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MN, CA, TN, FL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Minneapolis, MN 55415
Phone (800) 475-6112
Louisville, KY 40202-1821
Phone (502) 629-1234
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.01 of 100
- Quality
- 86.78
- Improvement activities
- 40
- Cost
- 70.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C183038 | CA | MD | Diagnostic Radiology Physician |
| DR.0069419 | CO | MD | Diagnostic Radiology Physician |
| 036.120499 | IL | MD | Diagnostic Radiology Physician |
| ME138121 | FL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Tallahassee PA | Pediatric Radiology | Current | Accepting new patients |
| Medical Center Radiologists Inc | Diagnostic Radiology | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| University Physicians Incorporated | Current | Accepting new patients | |
| Regents of the Univ of Ca | Diagnostic Radiology | Current | Accepting new patients |
| University Physicians, Incorporated | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Pediatric Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Pediatric Radiology | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Childrens Health Care Services Inc | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Kaleida Health | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Imaging Consultants S C | Diagnostic Radiology | Past | Accepting new patients |
| Lurie Children'S Medical Group, LLC | Pediatric Radiology | Past | Accepting new patients |
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
747 52nd St
Oakland, CA 94609
Phone (510) 428-3070
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Dept 1061
Denver, CO 80256
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
6275 E Virginia Beach Blvd
Ste 300
Norfolk, VA 23502
Phone (757) 461-1688
Interoperability endpoints
- jmitchell27537@mlh.direct-ci.com
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 and National Provider Directory roles.
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- Internal Medicine Physician
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- Pediatrics Physician
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- NPI 1861578973
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
CA, MN, Pediatric Radiology
-
- Diagnostic Radiology Physician
- Tallahassee, FL
- NPI 1003866773
Pediatric Radiology
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1699921627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "2525 Chicago Ave S",
"address_2": "Childrens Hospitals and Clinics of MN",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "55401",
"country_code": "US",
"telephone_number": "612-813-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "747 52nd St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946091809",
"country_code": "US",
"telephone_number": "510-428-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "720-848-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "JASON",
"middle_name": "BRYAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-11",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "CA",
"license": "C183038",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036.120499",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "53818",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "C183038",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "DR.0069419",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.