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JERRY JOHN MD NPI 1659440543


NPI Information

NPI: 1659440543
Provider Name: JERRY JOHN, MD
Classification: Internal Medicine - 207RA0001X
Entity Type: Individual

Specialization: Advanced Heart Failure and Transplant Cardiology

PECOS Registration: Yes

Address:
2001 CRYSTAL SPRING AVE SW STE 203
ROANOKE, VA
ZIP 24014
Phone: (540) 981-8749
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Jerry John, MD is an advanced heart failure and transplant cardiology internal medicine in Roanoke, VA with 23 years of experience. The provider is specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. Jerry John, MD NPI is 1659440543. 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:

2001 CRYSTAL SPRING AVE SW STE 203
ROANOKE, VA
ZIP 24014-465
Phone: (540) 981-8749
Fax: (540) 981-9305

The NPI 1659440543 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 electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Insertion of catheter for diagnostic evaluation of right heart structures (HCPCS:93451)

The enumeration date for this NPI number is 11/7/2006 and was last updated on 10/13/2023.


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
1207R00000XInternal Medicine200501438NORTH CAROLINANo
2207RC0000XInternal MedicineCardiovascular Disease5210479-1205UTAHNo
3207RA0001XInternal MedicineAdvanced Heart Failure and Transplant Cardiology0101274896VIRGINIAYes

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
11659440543MEDICAIDUTAH
25902155MEDICAIDNORTH CAROLINA
3807070OTHERNORTH CAROLINAPARTNERS MEDICARE
4140XVOTHERNORTH CAROLINABCBS OF NC
5183494OTHERNORTH CAROLINAMEDCOST

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

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