DR. DEREK PRAINORUT JAKES M.D. NPI 1124066527

NPI Information

  • NPI: 1124066527
  • Provider Name: DR. DEREK PRAINORUT JAKES, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1210 W FARIS RD
    GREENVILLE, SC
    ZIP 29605
  • Phone: (864) 522-1800

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NPI Details

DR. Derek Prainorut Jakes, M.D. is a diagnostic radiology radiology in Greenville, SC with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Derek Prainorut Jakes, M.D. NPI is 1124066527. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

1210 W FARIS RD
GREENVILLE, SC
ZIP 29605-444
Phone: (864) 522-1800
Fax: (864) 522-1806

The NPI 1124066527 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.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance (HCPCS:32557)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Review by radiologist of additional artery image (HCPCS:75774)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)
  • Needle biopsy of liver through skin (HCPCS:47000)
  • Needle biopsy of kidney (HCPCS:50200)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • Removal of central venous tube with port or pump (HCPCS:36590)
  • Insertion of stomach tube using fluoroscopic guidance with contrast (HCPCS:49440)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 6/4/2006 and was last updated on 3/7/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology27795SOUTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1277952MEDICAIDSOUTH CAROLINA
227795OTHERSOUTH CAROLINAMEDICAL LICENSE

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: 3/30/2025

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