Individual provider Active NPI

Jason Bryan Mitchell, MD

  • Pediatric Radiology Physician
  • Palo Alto, CA
National Provider Identifier
1699921627
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
C183038 Issued in CA
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

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20090908000543 IL Practitioner - Diagnostic Radiology 1557416906 Reassigns benefits to 1 organization
I20110720000172 MN Practitioner - Diagnostic Radiology 1557416906 Reassigns benefits to 5 organizations
I20221209000388 CA Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Pediatric Medicine 1557416906 Reassigns benefits to 5 organizations
I20230223000086 TN Practitioner - Diagnostic Radiology 1557416906 Reassigns benefits to 1 organization
I20230830000559 FL Practitioner - Interventional Radiology 1557416906 Reassigns benefits to 2 organizations
I20231021000425 KY Practitioner - Diagnostic Radiology 1557416906 Reassigns benefits to 1 organization

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
Medical Center Radiologists IncGroup PAC ID 5395640650, 124 clinicians

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 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
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

LicenseStateTypeSpecialty
C183038CAMDDiagnostic Radiology Physician
DR.0069419COMDDiagnostic Radiology Physician
036.120499ILMDDiagnostic Radiology Physician
ME138121FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Dec 10, 2025 Accepting new patients
Radiology Associates of Tallahassee PA Pediatric Radiology CurrentSince Nov 1, 2023 Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince Jun 27, 2023 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
University Physicians Incorporated CurrentSince Jul 15, 2024 Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
University Physicians, Incorporated CurrentSince Jul 15, 2024 Accepting new patients
Childrens Health Care CurrentSince May 21, 2011 Accepting new patients
Kaleida Health CurrentSince Jan 20, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 19, 2023 Accepting new patients
Childrens Health Care CurrentSince May 21, 2011 Accepting new patients
Norton Children'S Medical Group, LLC Pediatric Radiology CurrentSince Sep 10, 2023 Accepting new patients
Mori Bean and Brooks Inc Pediatric Radiology CurrentSince Oct 1, 2025 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Sep 10, 2023 Accepting new patients
University of California San Francisco CurrentSince Jan 19, 2023 Accepting new patients
Childrens Health Care Services Inc CurrentSince Mar 11, 2010 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 19, 2023 Accepting new patients
University of California San Francisco CurrentSince Jan 19, 2023 Accepting new patients
Kaleida Health Diagnostic Radiology CurrentSince Jan 20, 2025 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

  • Direct secure messaging: 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.

View all 23

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

Verify at the official NPI Registry.