Individual provider Active NPI

Jerry Allen Powell, M.D.

  • Pediatric Radiology Physician
  • Dallas, TX
National Provider Identifier
1801896543
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
L3438 Issued in TX
Practice address
5323 Harry Hines Blvd.
Dallas, TX 75390
Phone
(214) 456-5776
NPI assigned
Jul 22, 2005
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X L3438 TX Primary
Diagnostic Radiology Physician 2085R0202X L3438 TX

Addresses

Primary practice location

5323 Harry Hines Blvd.
Dallas, TX 75390

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, CA, WY, CO, AZ, WA7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20050712000346 TX Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 4789610726 Reassigns benefits to 13 organizations
I20240109004318 NM Practitioner - Diagnostic Radiology 4789610726 Reassigns benefits to 1 organization
I20240627002810 CA Practitioner - Diagnostic Radiology 4789610726 Reassigns benefits to 1 organization
I20250106000035 WY Practitioner - Diagnostic Radiology 4789610726 Reassigns benefits to 2 organizations
I20250328000103 CO Practitioner - Diagnostic Radiology 4789610726 Reassigns benefits to 1 organization
I20250812002304 AZ Practitioner - Diagnostic Radiology 4789610726 Reassigns benefits to 1 organization
I20260123002123 WA Practitioner - Diagnostic Radiology 4789610726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Sierra Vista HospitalGroup PAC ID 0143122416, 64 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Mountain Radiology IncGroup PAC ID 4688666761, 77 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians

Practice addresses (Care Compare)

Dripping Springs, TX 78620
Phone (208) 715-5220

1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 879-1322

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

1403 Settlers CT
Allen, TX 75002-8373
Phone (865) 531-0722

3322 Yukon Straight
San Antonio, TX 78261-2595
Phone (832) 915-2534

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Dec 3, 2022 Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jun 7, 2023 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince May 15, 2024 Accepting new patients
Elevation Medical Imaging Evanston CurrentSince Aug 1, 2024 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Oct 31, 2024 Accepting new patients
Multicare Health System CurrentSince Jan 7, 2026 Accepting new patients
Multicare Health System CurrentSince Jan 7, 2026 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 9, 2010 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Oct 31, 2024 Accepting new patients
Pediatric Imaging Associates LLC CurrentSince Sep 10, 2015 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Singleton Associates PA Pediatric Radiology CurrentSince Sep 29, 2022 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince May 26, 2024 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Jul 24, 2023 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Apr 13, 2024 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Sierra Vista Hospital CurrentSince Dec 29, 2023 Accepting new patients
Yampa Valley Medical Center CurrentSince Mar 17, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Jan 9, 2010 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Yampa Valley Medical Center CurrentSince Mar 17, 2025 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Feb 28, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Southwest Imaging and Interventional Specialists, P.a. Diagnostic Radiology Past Accepting new patients
Yampa Valley Medical Center Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients
South Austin Health Imaging LLC Past Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
Alliance MRI Lake Houston, LLC Past Accepting new patients

Locations (25 of 66)

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

3601 S 6th Ave
Tucson, AZ 85723

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

Organizations & group practices 33

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 33

Hospital & facility affiliations 9

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1801896543",
    "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 BLVD.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75390",
            "telephone_number": "214-456-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JERRY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TX",
            "license": "L3438",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L3438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.