ST. JUDE RADIOLOGY MEDICAL GROUP, INC.
NPI 1750803722
Radiology - Diagnostic Radiology in Walnut Creek, CA
About St. Jude Radiology Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. JUDE RADIOLOGY MEDICAL GROUP, INC. (NPI 1750803722) is a healthcare organization registered as a diagnostic radiology in Walnut Creek, California and active in the NPI registry since July 2017. The organization lists Bradley A. Jackson, Medical Director / Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Jude Radiology Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
53Medicare enrollment records show 53 clinicians reassign Medicare billing to St. Jude Radiology Medical Group, Inc., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 53Palo Alto, CA 94305
Los Angeles, CA 90048
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is St. Jude Radiology Medical Group, Inc.'s NPI number?
The NPI number for St. Jude Radiology Medical Group, Inc. is 1750803722. It was assigned to this organization in the NPPES registry on July 12, 2017.
Where is St. Jude Radiology Medical Group, Inc. located?
St. Jude Radiology Medical Group, Inc. is located at 215 Tiburon Ct, Walnut Creek, CA 94597. The listed phone number is (714) 992-3978.
What is St. Jude Radiology Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is St. Jude Radiology Medical Group, Inc. enrolled in Medicare?
Yes. St. Jude Radiology Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Jude Radiology Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 2 Medicare specialties reassign their Medicare billing to St. Jude Radiology Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (51) and Interventional Radiology (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for St. Jude Radiology Medical Group, Inc. was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# St. Jude Radiology Medical Group, Inc. · NPI 1750803722
Diagnostic Radiology organization in Walnut Creek, California. Organization record, active in the CMS NPPES registry since July 12, 2017.
## Identity
- **NPI:** 1750803722 (Entity type: Organization)
- **Enumerated:** July 12, 2017
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Bradley Jackson, MEDICAL DIRECTOR / CEO
## Practice location
- **Address:** 215 TIBURON CT, Walnut Creek, CA 94597-3437
- **Phone:** (714) 992-3978
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 53 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (51), Interventional Radiology (2); [full list](https://npiprofile.com/npi/1750803722/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1750803722) · Data from the CMS NPPES public registry.