Individual provider Active NPI

Jordan Hunter Goldberg, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1780927509
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R0865 Issued in TX
Practice address
5323 Harry Hines Boulevard
Dallas, TX 75390-9257
Phone
(214) 645-3586
NPI assigned
Mar 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X R0865 TX Primary

Addresses

Primary practice location

5323 Harry Hines Boulevard
Dallas, TX 75390-9257

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Other practice location 1

510 S Kingshighway Blvd
Saint Louis, MO 63110-1016
Phone (314) 362-7100

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
I20180706000175 TX Practitioner - Diagnostic Radiology 9133340110 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Rose Imaging Specialists PAGroup PAC ID 7517853351, 44 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

3025 N Tarrant Pkwy
Suite 250
Fort Worth, TX 76177-8626
Phone (281) 742-0469

3201 Matlock Rd
Suite 110
Arlington, TX 76015-2942
Phone (866) 717-2551

4430 Lavon Dr
Suite 326
Garland, TX 75040-2974
Phone (866) 257-6864

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

7777 Forest LN
Suite C236
Dallas, TX 75230-7514
Phone (214) 294-9051

9155 Grapevine Hwy
Suite 120
North Richland Hills, TX 76180-5671
Phone (713) 461-3573

9440 Poppy Dr
Dallas, TX 75218-3652
Phone (214) 324-6100

Hospital & facility affiliations

  • Medical City Denton Hospital, Denton, TX, CCN 450634
  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • The Heart Hospital Baylor Denton Hospital, Denton, TX, CCN 450893
  • Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Imaging Specialists, PA Diagnostic Radiology CurrentSince Mar 15, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2018 Accepting new patients
Rose Imaging Specialists PA Diagnostic Radiology CurrentSince Mar 15, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

12200 Renfert Way
Ste 100
Austin, TX 78758
Phone (512) 451-8211

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

5575 Warren Pkwy
Ste 220
Frisco, TX 75034
Phone (214) 618-3686

1250 8th Ave
Ste 130
Ft Worth, TX 76104
Phone (817) 886-0880

4430 Lavon Dr
#326
Garland, TX 75040

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

17030 Red Oak Dr
Houston, TX 77090
Phone (281) 580-6171

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

6750 N MacArthur Blvd
Ste 153
Irving, TX 75039
Phone (469) 677-3174

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

10970 Shadow Creek Pkwy
Ste 190
Pearland, TX 77584
Phone (713) 770-7767

6807 Emmett F Lowry Expy
Ste 308
Texas City, TX 77591
Phone (409) 934-8687

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

5500 Kell Blvd
Ste 110
Wichita Falls, TX 76310

Organizations & group practices 6

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.

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1780927509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BOULEVARD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909257",
            "telephone_number": "214-645-3586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 S Kingshighway Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101016",
            "country_code": "US",
            "telephone_number": "314-362-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JORDAN",
        "middle_name": "HUNTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R0865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.