Individual provider Active NPI

Robert Jackson, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1952712176
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q9385 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone
(210) 358-0000
NPI assigned
May 9, 2014
Last updated
Jul 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Q9385 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Other identifiers 1

IdentifierTypeStateIssuer
398453601MedicaidTX

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
I20190528002127 TX Practitioner - Diagnostic Radiology 3870884802 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mands Radiology Associates PAGroup PAC ID 3173505088, 54 clinicians
VHS San Antonio Imaging Partners LPGroup PAC ID 5395723787, 69 clinicians
Austin Regional Clinic PAGroup PAC ID 3072507789, shared by 4 NPIs, 398 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000

1763 Medical Way
Baptist Mands Imaging New Braunfels
New Braunfels, TX 78132-4521
Phone (210) 785-2500

215 E Quincy St
Suite 100
San Antonio, TX 78215-2032
Phone (210) 351-0784

3011 W Loop 1604
San Antionio, TX 78251-3901

3327 Research PLZ
San Antonio, TX 78235-5156
Phone (210) 423-3950

4103 N Loop 1604 W
107 The Orthopedic and Neurologic Imaging
San Antonio, TX 78249-1380
Phone (210) 785-2519

5368 Fredericksburg Rd
Suite 305
San Antonio, TX 78229-6108
Phone (210) 350-3115

6835 Austin Ctr Blvd
Austin, TX 78731-3166
Phone (512) 346-6611

8815 Village Dr
San Antonio, TX 78217-5415
Phone (210) 590-5822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.84 of 100Reported as group
Quality
99.37
Improvement activities
40
Cost
80.16

Merit-based Incentive Payment System (MIPS)

Final score
85.83 of 100Reported as group
Quality
83.33
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS San Antonio Imaging Partners, LP Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
M&S Radiology Associates, PA CurrentSince Aug 1, 2019 Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology Current Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Radiology Imaging Corpus Christi, PLLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
VHS San Antonio Partners, LLC Past Accepting new patients

Locations

4241 Vets Blvd
Ste 200
Metairie, LA 70006

2825 Spohn Dr S
Corpus Christi, TX 78414
Phone (361) 991-9595

3226 S Alameda St
Corpus Christi, TX 78404
Phone (361) 888-6684

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

6491 Woodlake Pkwy
San Antonio, TX 78244
Phone (210) 622-8220

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

16088 San Pedro Ave
San Antonio, TX 78232
Phone (210) 402-4092

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

215 E Quincy St
Ste 100
San Antonio, TX 78215
Phone (210) 351-0784

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

25615 US Highway 281 N
San Antonio, TX 78258
Phone (210) 292-0168

7719 S Ih 35
San Antonio, TX 78224
Phone (210) 572-2955

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

9522 Huebner Rd
San Antonio, TX 78240
Phone (210) 478-5390

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

10811 Town Center Dr
San Antonio, TX 78251
Phone (210) 572-0911

16977 Interstate 35 N
Schertz, TX 78154
Phone (210) 572-8400

Organizations & group practices 7

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1952712176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q9385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398453601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.