Individual provider Active NPI

Jeremy Dean Clark, DO

  • Diagnostic Radiology Physician
  • Plano, TX
National Provider Identifier
1902122443
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q7164 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075-7738
Phone
(972) 596-6800
NPI assigned
Apr 8, 2010
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 Q7164 TX Primary

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075-7738

Mailing address

1820 Preston Park Blvd Ste 1825
Plano, TX 75093-5215
Phone (972) 867-7862

Other practice location 1

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-6000

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
I20160620001218 TX Practitioner - Diagnostic Radiology 2062685548 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Radiology Associates LLPGroup PAC ID 3779578000, 154 clinicians
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

201 Walls Dr
Texas Health Harris Methoidist Hospital Cle
Cleburne, TX 76033-4007
Phone (817) 641-2551

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

Merit-based Incentive Payment System (MIPS)

Final score
91.4 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7164TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
North Star MRI LP CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
North Star FP, LP CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Jul 26, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
North Star FM, LP CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 9, 2019 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Jul 11, 2016 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 10, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 16, 2022 Accepting new patients
North Star MCD, LLC Current Accepting new patients
Texas Tech University Health Sciences Center El Paso Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2019 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Jul 11, 2016 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Feb 7, 2017 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Mar 1, 2026 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Health Imaging Partners, LLC CurrentSince Apr 23, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
North Star MRI of Frisco LP CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jul 15, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
North Star MCD, LLC CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners, LLC CurrentSince Oct 17, 2024 Accepting new patients
North Star Plano Parkway, LP CurrentSince Oct 1, 2018 Accepting new patients
Memorial MRI and Diagnostic LLC Diagnostic Radiology CurrentSince May 1, 2019 Accepting new patients
North Star GV, LP CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 22, 2024 Accepting new patients
Utmb Faculty Group Practice Diagnostic Radiology CurrentSince May 17, 2019 Accepting new patients
North Star MCD, LLC CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2023 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology PastSince Mar 19, 2025 Accepting new patients
Radpod FL PLLC Diagnostic Radiology Past Accepting new patients

Locations

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

8501 Wade Blvd
#220N
Frisco, TX 75034

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1241 Campbell Rd
Houston, TX 77055
Phone (713) 568-6095

1346 Campbell Rd
Houston, TX 77055

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

1820 Preston Park Blvd
Ste 1825
Plano, TX 75093

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Organizations & group practices 48

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 48

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1902122443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 1825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935215",
            "telephone_number": "972-867-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "972-596-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-6000",
            "fax_number": "915-545-6607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JEREMY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "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": "Q7164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.