Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Alexander McKellop, MD

Individual provider Diagnostic Radiology Physician · NPI 1215166657

Dr. Jason Alexander McKellop, MD is a Diagnostic Radiology in New York, New York. Graduated from University of Michigan Medical School in 2009, 17 years ago. Practices with Beverly Radiology Medical Group III, a 330-clinician group and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
17
Trained at
University of Michigan Medical School
Licensed in
MI, NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 1st Ave Langone Medical Ctr
New York, NY 10016-6402
Phone: (212) 263-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 274522 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301094873 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215166657
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2009
Last updated in NPPESJune 23, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice Beverly Radiology Medical Group Iii — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations51 on file with Medicare

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