Individual provider Active NPI

Jeremy Scott Stupin, M.D

  • Diagnostic Radiology Physician
  • Escondido, CA
National Provider Identifier
1780883496
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A100178 Issued in CA
Practice address
2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone
(442) 281-3000
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A100178 CA Primary
Diagnostic Radiology Physician 2085R0202X 036175588 IL

Addresses

Primary practice location

2185 Citracado Pkwy
Escondido, CA 92029-4159

Mailing address

5191 Chelsea St
La Jolla, CA 92037-7909
Phone (646) 483-7950

Other identifiers 1

IdentifierTypeStateIssuer
1780883496OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.sandiegoimaging.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH, FL, NY, WI, MI, IL, DC8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20100804000355 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3375676836 Reassigns benefits to 7 organizations
I20201211000597 OH Practitioner - Diagnostic Radiology 3375676836 Reassigns benefits to 1 organization
I20231205002637 FL Practitioner - Diagnostic Radiology 3375676836 Reassigns benefits to 3 organizations
I20250304002116 NY Practitioner - Diagnostic Radiology 3375676836 Reassigns benefits to 1 organization
I20250411000215 WI Practitioner - Diagnostic Radiology 3375676836 Reassigns benefits to 10 organizations
I20250911004591 MI Practitioner - Diagnostic Radiology 3375676836 Reassigns benefits to 6 organizations
I20251125000783 IL Practitioner - Diagnostic Radiology 3375676836 Reassigns benefits to 2 organizations
I20260520003975 DC Practitioner - Diagnostic Radiology 3375676836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians
Progressive Physician Assoc IncGroup PAC ID 1355243809, 164 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

5191 Chelsea St
La Jolla, CA 92037-7909
Phone (610) 868-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036175588ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Diagnostics Inc CurrentSince May 9, 2024 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Dec 28, 2025 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince May 1, 2025 Accepting new patients
Radiology Medical Group of WMMC Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Diagnostic Radiology CurrentSince Nov 17, 2025 Accepting new patients
A1 Mobile Imaging LLC CurrentSince Jan 1, 2018 Accepting new patients
Good Samaritan Regional Health Center Diagnostic Radiology CurrentSince Nov 17, 2025 Accepting new patients
Crawford Hospital District CurrentSince Oct 16, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Aug 24, 2025 Accepting new patients
Crawford Hospital District CurrentSince Oct 16, 2025 Accepting new patients
Crawford Hospital District Current Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Nov 17, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 1, 2025 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince May 1, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jul 24, 2025 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Progressive Physician Assoc Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Perfect Health Medical LLC CurrentSince Dec 29, 2024 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince May 1, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 23, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince May 1, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jul 24, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Aug 24, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince May 1, 2025 Accepting new patients
Aspirus Keweenaw CurrentSince Aug 24, 2025 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince May 1, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Aug 24, 2025 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Nov 17, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Aug 24, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 23, 2023 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince May 1, 2025 Accepting new patients
Image Care NJ LLC CurrentSince Jun 6, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jul 24, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Keweenaw CurrentSince Aug 24, 2025 Accepting new patients
Arch Health Partners, Inc Diagnostic Radiology CurrentSince Oct 11, 2023 Accepting new patients
University Hospitals Ahuja Medical Center, Inc Past Accepting new patients
Emh Regional Medical Center Past Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Sacred Heart Hospital of the Hospital Sisters-3Rd Order of St Francis Past Accepting new patients
Regents of the University of California Diagnostic Radiology Past Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients
University Hospitals Geneva Medical Center Past Accepting new patients
University Hospitals Conneaut Medical Center Past Accepting new patients
New Manna CLG, LLC Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients

Locations (25 of 42)

555 E Valley Pkwy
Escondido, CA 92025
Phone (760) 739-3000

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

531 W College St
Los Angeles, CA 90012
Phone (213) 268-5000

11333 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 365-9531

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

2549 Eastbluff Dr
Ste 414
Newport Beach, CA 92660
Phone (215) 628-4000

15611 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

15611 Pomerado Rd
Ste 525
Poway, CA 92064
Phone (619) 287-9334

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

29980 Network Pl
Chicago, IL 60673

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

602 S 42nd St
Ste B
Mount Vernon, IL 62864
Phone (618) 899-3278

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jstupin30282@ehrdirect.uhhospitals.org
  • Direct secure messaging: jeremy.stupin.p1@direct.arch.nextgenshare.com

Organizations & group practices 58

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 58

Hospital & facility affiliations 8

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1780883496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 CHELSEA ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377909",
            "telephone_number": "646-483-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 CITRACADO PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294159",
            "telephone_number": "442-281-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPIN",
        "first_name": "JEREMY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A100178",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036175588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780883496",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sandiegoimaging.com",
            "affiliation": "N",
            "endpointDescription": "san diego",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2185 Citracado Pkwy",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920294159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.