DR. JEFFREY T PREM M.D NPI 1235110693

NPI Information

  • NPI: 1235110693
  • Provider Name: DR. JEFFREY T PREM, M.D
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6046 WHIPPLE AVE NW STE 203
    NORTH CANTON, OH
    ZIP 44720
  • Phone: (330) 588-8900

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NPI Details

DR. Jeffrey T Prem, M.D is a vascular surgery surgery in North Canton, OH with 32 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Jeffrey T Prem, M.D NPI is 1235110693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

6046 WHIPPLE AVE NW STE 203
NORTH CANTON, OH
ZIP 44720-616
Phone: (330) 588-8900
Fax: (330) 588-8990

The NPI 1235110693 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Removal of varicose veins of arm or leg, more than 20 incisions (HCPCS:37766)
  • Exposure of thigh artery for insertion of prosthesis (HCPCS:34812)
  • Balloon dilation of artery of leg (HCPCS:37224)
  • Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist (HCPCS:34705)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 11/10/2005 and was last updated on 4/9/2020.

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
1208600000XSurgery35071936POHIONo
22086S0129XSurgeryVascular Surgery35071936POHIOYes

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
12048484MEDICAIDOHIO

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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