DR. JACOB ARTHUR LIVERMORE M.D. NPI 1174649206

NPI Information

  • NPI: 1174649206
  • Provider Name: DR. JACOB ARTHUR LIVERMORE, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5333 MCAULEY DR
    SUITE 6016
    YPSILANTI, MI
    ZIP 48197
  • Phone: (734) 712-8350

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NPI Details

DR. Jacob Arthur Livermore, M.D. is a diagnostic radiology radiology in Ypsilanti, MI with 22 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jacob Arthur Livermore, M.D. NPI is 1174649206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

5333 MCAULEY DR
SUITE 6016
YPSILANTI, MI
ZIP 48197-014
Phone: (734) 712-8350
Fax: (734) 712-8351

The NPI 1174649206 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 of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Mri scan of leg before and after contrast (HCPCS:73720)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ct scan of leg with contrast material (HCPCS:73701)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, 1 view (HCPCS:73020)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Mri scan of leg joint before and after contrast (HCPCS:73723)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of abdomen, 2 views (HCPCS:74019)

The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/30/2013.

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
1390200000XStudent in an Organized Health Care Education/Training Program4301083916MICHIGANNo
22085R0202XRadiologyDiagnostic Radiology4301083916MICHIGANYes

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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