Individual provider Active NPI

Jason Albert Conrad, MD

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1730383829
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M1598 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0312
Fax
(817) 317-7033
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M1598 TX Primary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X M1598 TX
Diagnostic Ultrasound Physician 2085U0001X M1598 TX
Neuroradiology Physician 2085N0700X M1598 TX
Body Imaging Physician 2085B0100X M1598 TX

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0312

Other identifiers 1

IdentifierTypeStateIssuer
M1598OtherTXTX LICENSE

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
I20050914000294 TX Practitioner - Diagnostic Radiology 3375576010 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Methodist-CdiGroup PAC ID 3072836600, 43 clinicians

Practice addresses (Care Compare)

1750 N Hampton Rd
Desoto, TX 75115-2306
Phone (214) 420-5400

17980 Dallas Pkwy
Suite 200
Dallas, TX 75287-6817
Phone (817) 321-0937

2975 E Broad St
Suite 101
Mansfield, TX 76063-9147
Phone (214) 420-5445

4140 E Renner Rd
Suite 100
Richardson, TX 75082-2807
Phone (972) 920-0115

7300 Eldorado Pkwy
Suite 170
McKinney, TX 75070-7895
Phone (972) 920-0150

8080 Independence Pkwy
Suite 105
Plano, TX 75025-4003
Phone (972) 208-1858

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1598TXMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Radiology Associates of North Texas PA Body Imaging CurrentSince Jul 1, 2009 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Nov 1, 2013 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Feb 18, 2017 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
North Star FP, LP CurrentSince Nov 1, 2017 Accepting new patients
North Star MRI LP CurrentSince Nov 1, 2013 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2024 Accepting new patients
Radiology Associates of North Texas PA Body Imaging CurrentSince Jul 1, 2009 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
North Star MRI of Frisco LP CurrentSince Nov 1, 2013 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 17, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
North Star FM, LP CurrentSince Nov 1, 2013 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Health Imaging Partners, LLC CurrentSince Mar 14, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

1750 N Hampton Rd
Desoto, TX 75115
Phone (214) 420-5400

8501 Wade Blvd
#220N
Frisco, TX 75034

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

2120 N MacArthur Blvd
Ste 100
Irving, TX 75061
Phone (972) 438-4636

2975 E Broad St
Ste 101
Mansfield, TX 76063
Phone (214) 420-5445

8080 Independence Pkwy
Ste 105
Plano, TX 75025
Phone (972) 208-1858

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Organizations & group practices 31

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 31

Hospital & facility affiliations 5

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1730383829",
    "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": "761043146",
            "telephone_number": "817-321-0312",
            "fax_number": "817-317-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-321-0312",
            "fax_number": "817-317-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "JASON",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M1598",
            "primary": true
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "TX",
            "license": "M1598",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "TX",
            "license": "M1598",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "M1598",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "M1598",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "M1598",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.