Individual provider Active NPI

Jamie Lynn Coleman, MD

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1932164753
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L1006 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0404
NPI assigned
Apr 18, 2006
Last updated
Dec 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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 L1006 TX
Diagnostic Radiology Physician 2085R0202X L1006 TX Primary

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0404

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
I20050613000904 TX Practitioner - Diagnostic Radiology 3274577044 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arkansas College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

405 George Hopper Rd
Midlothian, TX 76065-5519
Phone (512) 795-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1006TXMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Radiological Association CurrentSince Sep 1, 2023 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Sep 18, 2023 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Sep 18, 2023 Accepting new patients
Singleton Associates PA Pediatric Radiology CurrentSince Dec 5, 2023 Accepting new patients
Radiology Associates of North Texaspa Diagnostic Radiology CurrentSince Oct 5, 2018 Accepting new patients
Austin Radiological Association CurrentSince Sep 1, 2023 Accepting new patients
Radiology Associates of North Texas PA Pediatric Radiology CurrentSince Oct 5, 2018 Accepting new patients
Ara/St. David's Imaging, LP CurrentSince Sep 18, 2023 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Ara/St. David's Imaging, LP Current Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations (25 of 32)

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

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

1750 N Hampton Rd
Desoto, TX 75115
Phone (214) 420-5400

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

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

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

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

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

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

Organizations & group practices 14

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 14

Hospital & facility affiliations 4

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1932164753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-321-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TX",
            "license": "L1006",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.