Individual provider Active NPI

Joseph Mullasseril John, D.O,

  • Diagnostic Radiology Physician
  • Shreveport, LA
National Provider Identifier
1811255896
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
310128 Issued in LA
Practice address
2600 Greenwood Rd
Shreveport, LA 71103
Phone
(318) 212-4000
NPI assigned
Apr 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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 R0258 TX
Diagnostic Radiology Physician 2085R0202X 310128 LA Primary

Addresses

Primary practice location

2600 Greenwood Rd
Shreveport, LA 71103

Mailing address

PO Box 3488
Tupelo, MS 38803-3488
Phone (832) 605-3477

Other practice location 1

4755 Ogletown-Stanton Road
Christiana Hospital, Suite 2A00
Newark, DE 19718
Phone (302) 733-1042

Other practice location 2

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4000

Other identifiers 2

IdentifierTypeStateIssuer
370924802OtherTXCSHCN
370924801MedicaidTX

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
I20170509002063 TX Practitioner - Diagnostic Radiology 8022240118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0258TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV, LLP CurrentSince Jul 12, 2022 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Blue Stone JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince May 5, 2022 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince Dec 1, 2022 Accepting new patients
Btdi JV, LLP CurrentSince Sep 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV, LLP CurrentSince Aug 18, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Feb 1, 2022 Accepting new patients

Locations

690 N 14th St
Beaumont, TX 77702
Phone (409) 899-7047

6301 Gaston Ave
Ste 180
Dallas, TX 75214
Phone (214) 826-6700

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

411 N Washington Ave
Ste 1000
Dallas, TX 75246
Phone (214) 820-8770

3500 Gaston Ave
Dallas, TX 75246

3720 S Interstate 35 E
Denton, TX 76210
Phone (940) 382-1022

4501 Joe Ramsey Blvd E
Ste 120
Greenville, TX 75401
Phone (903) 201-6688

1441 S Midlothian Pkwy
Ste 100
Midlothian, TX 76065
Phone (469) 800-9600

301 N Washington Ave
Odessa, TX 79761
Phone (432) 335-8275

1355 Ridge Rd
Ste 105
Rockwall, TX 75087

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

501 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-4926

Interoperability endpoints

  • Direct secure messaging: jjohn1687144@direct.texashealth.org

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

Hospital & facility affiliations 12

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1811255896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3488",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033488",
            "telephone_number": "832-605-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71103",
            "telephone_number": "318-212-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Ogletown-Stanton Road",
            "address_2": "Christiana Hospital, Suite 2A00",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "19718",
            "country_code": "US",
            "telephone_number": "302-733-1042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Greenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71103",
            "country_code": "US",
            "telephone_number": "318-212-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "JOSEPH",
        "middle_name": "MULLASSERIL",
        "credential": "D.O,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R0258",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "310128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "370924802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370924801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.