DR. JORDAN MICHAEL GUTOVICH MD NPI 1154756955

NPI Information

  • NPI: 1154756955
  • Provider Name: DR. JORDAN MICHAEL GUTOVICH, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3015 N BALLAS RD
    DEPT RADIOLOGY
    SAINT LOUIS, MO
    ZIP 63131
  • Phone: (314) 996-5170

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NPI Details

DR. Jordan Michael Gutovich, MD is a diagnostic radiology radiology in Saint Louis, MO with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jordan Michael Gutovich, MD NPI is 1154756955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

3015 N BALLAS RD
DEPT RADIOLOGY
SAINT LOUIS, MO
ZIP 63131-329
Phone: (314) 996-5170
Fax: (314) 996-4261

The NPI 1154756955 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of spine, 1 view (HCPCS:72020)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Single contrast x-ray of small intestine (HCPCS:74250)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of lower spine with contrast (HCPCS:72132)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Double contrast x-ray of esophagus (HCPCS:74221)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • X-ray of lower spinal canal with review by radiologist (HCPCS:62304)
  • Ct scan of chest without contrast (HCPCS:71250)

The enumeration date for this NPI number is 9/11/2013 and was last updated on 4/17/2025.

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 Radiology2019008075MISSOURIYes

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
1200069047MEDICAIDMISSOURI

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: 11/21/2025

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