Individual provider Active NPI

Jay Dayalal Tank, M.D.

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1962765172
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA10532300 Issued in NJ
Practice address
2530 Erwin Rd Apt 277
Durham, NC 27705-4767
Phone
(909) 525-2835
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DR.0061789 CO
Diagnostic Radiology Physician 2085R0202X A154175 CA
Diagnostic Radiology Physician 2085R0202X 25MA10532300 NJ Primary

Addresses

Primary practice location

2530 Erwin Rd Apt 277
Durham, NC 27705-4767

Mailing address

1830 Pine St
Apt 2R
Philadelphia, PA 19103-6650

Other practice location 1

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1100

Other practice location 2

10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, MD, DC, CO, NJ, NV7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20190225001195 CA Practitioner - Diagnostic Radiology 0648549220 Reassigns benefits to 15 organizations
I20210128001511 TX Practitioner - Diagnostic Radiology 0648549220 Reassigns benefits to 3 organizations
I20250110003118 MD Practitioner - Diagnostic Radiology 0648549220 Reassigns benefits to 1 organization
I20250110003240 DC Practitioner - Diagnostic Radiology 0648549220 Reassigns benefits to 1 organization
I20250609001158 CO Practitioner - Diagnostic Radiology 0648549220 Reassigns benefits to 1 organization
I20251119004911 NJ Practitioner - Diagnostic Radiology 0648549220 Reassigns benefits to 1 organization
I20251216000310 NV Practitioner - Diagnostic Radiology 0648549220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Drexel University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Permanente Medical Group PCGroup PAC ID 1254238454, 1,325 clinicians
Physician Imaging of Washington Hospital Center LLCGroup PAC ID 6204910292, 102 clinicians
Pomona Valley Imaging Medical Group IncGroup PAC ID 6709898562, 22 clinicians
Renew Radiology Services PCGroup PAC ID 6709373509, 15 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

10350 E Dakota Ave
Kaiser Permanente Regional Office
Denver, CO 80247-1314
Phone (303) 338-4545

11357 Via Playa de Cortes
San Diego, CA 92124-1527
Phone (301) 215-9420

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (443) 625-5430

1798 N Garey Ave
Pomona, CA 91767-2918
Phone (909) 865-9535

5454 Wisconsin Ave
Suite 1100
Chevy Chase, MD 20815-6925
Phone (301) 215-9420

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 916-5000

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (732) 369-5994

Hospital & facility affiliations

  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154175CAMDDiagnostic Radiology Physician
DR.0061789COMDDiagnostic Radiology Physician
25MA10532300NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Radiology Services PC Diagnostic Radiology CurrentSince Sep 7, 2025 Accepting new patients
Radiology Associates of North Carolina PC Diagnostic Radiology CurrentSince May 17, 2025 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Rwjbh Observation Associates LLC Family Medicine CurrentSince Sep 6, 2025 Accepting new patients
Colorado Permanente Medical Group, P.C. Diagnostic Radiology CurrentSince Jun 16, 2025 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Jul 8, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 9, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 2, 2018 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Oct 14, 2018 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince May 24, 2020 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Dec 12, 2018 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology Current Accepting new patients
Consultants in Radiology PA Diagnostic Radiology CurrentSince Dec 16, 2023 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jun 1, 2024 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Jul 2, 2018 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Nov 23, 2019 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology PastSince Jul 19, 2014 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations (25 of 131)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3645 S Rome St
Ste 101
Gilbert, AZ 85297

665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

18275 N 59th Ave
Ste 168K
Glendale, AZ 85308
Phone (602) 889-1977

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1450 S Dobson Rd
Ste A100
Mesa, AZ 85202
Phone (480) 545-9779

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

1940 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (480) 476-8800

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

Interoperability endpoints

  • Direct secure messaging: jtank458611@direct.stlukeshealth.org

Organizations & group practices 30

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 30

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1962765172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 PINE ST",
            "address_2": "APT 2R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 ERWIN RD APT 277",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054767",
            "telephone_number": "909-525-2835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11995 Singletree Ln Ste 500",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553445349",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 E Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802471314",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANK",
        "first_name": "JAY",
        "middle_name": "DAYALAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0061789",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A154175",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA10532300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10350 E Dakota Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802471314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.