Individual provider Active NPI

Justin McCaslin, M.D.

  • Diagnostic Radiology Physician
  • Tyler, TX
National Provider Identifier
1962814798
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q9440 Issued in TX
Practice address
627 Turtle Creek Dr
Tyler, TX 75701-1832
Phone
(903) 593-2539
NPI assigned
May 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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 Q9440 TX Primary

Addresses

Primary practice location

627 Turtle Creek Dr
Tyler, TX 75701-1832

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
I20171201002098 TX Practitioner - Diagnostic Radiology 7517185622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
  • Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389
  • Ut Health East Texas Jacksonville Hospital Hospital, Jacksonville, TX, CCN 450194

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
Q9440TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Radiology Associates PA Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Radiology Associates of North Texas, PA Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Oct 1, 2017 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Texas Oncology PA CurrentSince Oct 1, 2017 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

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

3500 Gaston Ave
Dallas, TX 75246

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

3410 Worth St
Ste 300
Dallas, TX 75246
Phone (214) 370-1500

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

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

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

627 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 597-6372

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Interoperability endpoints

  • Direct secure messaging: jmccaslin355482@ahs.direct-ci.com

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 and National Provider Directory roles.

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1962814798",
    "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": "627 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011832",
            "telephone_number": "903-593-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASLIN",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q9440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.