Individual provider Active NPI

Jake Alan Gibbons, M.D

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1871056648
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
T7567 Issued in TX
Practice address
3500 Gaston Ave
Dallas, TX 75246-2017
Phone
(214) 820-2361
NPI assigned
Apr 9, 2019
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 NU
Diagnostic Radiology Physician 2085R0202X T7567 TX Primary

Addresses

Primary practice location

3500 Gaston Ave
Dallas, TX 75246-2017

Mailing address

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-2361

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
I20250312004127 TX Practitioner - Diagnostic RadiologyPractitioner - Internal Medicine 2567790009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

3555 W Wheatland Rd
Dallas, TX 75237-3461
Phone (972) 709-2580

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients
Texas Oncology PA CurrentSince Mar 6, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Jul 1, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients
Btdi JV, LLP CurrentSince Jul 1, 2026 Accepting new patients
Btdi JV LLP CurrentSince Jul 22, 2026 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2026 Accepting new patients
Btdi JV LLP CurrentSince Jun 15, 2026 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jun 10, 2026 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jun 10, 2026 Accepting new patients
Texas Oncology PA Current Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2026 Accepting new patients
Texas Oncology PA CurrentSince Mar 6, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 10, 2026 Accepting new patients

Locations

3555 W Wheatland Rd
Dallas, TX 75237
Phone (972) 709-2580

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

979 Don Floyd Dr
Ste 104
Midlothian, TX 76065
Phone (972) 723-7400

Interoperability endpoints

  • Direct secure messaging: jgibbons483461@direct.sw.org

Organizations & group practices 24

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 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1871056648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "JAKE",
        "middle_name": "ALAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T7567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.