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PETER DANIEL JURISICH D.O. NPI 1629083407


NPI Information

NPI: 1629083407
Provider Name: PETER DANIEL JURISICH, D.O.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
2 MEDICAL PLAZA DR STE 175
ROSEVILLE, CA
ZIP 95661
Phone: (916) 782-2146
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Peter Daniel Jurisich, D.O. is a cardiovascular disease internal medicine in Roseville, CA with 31 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Peter Daniel Jurisich, D.O. NPI is 1629083407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2 MEDICAL PLAZA DR STE 175
ROSEVILLE, CA
ZIP 95661-049
Phone: (916) 782-2146

The NPI 1629083407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Remote evaluations of single, dual, or multiple lead pacemaker system with qualified health care professional analysis, review, and report, up to 90 days (HCPCS:93294)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)

The enumeration date for this NPI number is 7/30/2006 and was last updated on 2/28/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0001XInternal MedicineClinical Cardiac Electrophysiology20A8542CALIFORNIANo
2207RC0000XInternal MedicineCardiovascular Disease20A8542CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102287OTHERCALIFORNIAHEALTH NET
21671625OTHERCALIFORNIAGREAT WEST
3020A85421MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
47450546OTHERCALIFORNIAAETNA
5H88494MEDICARE UPIN
6000810778930OTHERCALIFORNIAPHCS
72361104OTHERCALIFORNIAUNITED HEALTHCARE
8020A85420OTHERCALIFORNIABLUE SHIELD
900AX85420MEDICAIDCALIFORNIA
1020A542OTHERCALIFORNIABLUE CROSS
1195883OTHERCALIFORNIAINTERPLAN
1290136861OTHERCALIFORNIAPACIFICARE
132121684OTHERCALIFORNIAFIRST HEALTH
144911481OTHERCALIFORNIACIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.