JESSE R AMEZAGA MD NPI 1386683209

NPI Details

Jesse R Amezaga, MD is a diagnostic radiology radiology in Grand Rapids, MI with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jesse R Amezaga, MD NPI is 1386683209. 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:

3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525-746
Phone: (616) 363-7272
Fax: (616) 361-5828

The NPI 1386683209 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.

• Screening mammography (HCPCS:77067)
• Screening 3d breast mammography (HCPCS:77063)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• X-ray of chest, 1 view (HCPCS:71045)
• Screening mammography (HCPCS:77067)
• Screening 3d breast mammography (HCPCS:77063)
• X-ray of chest, 2 views (HCPCS:71046)
• Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment (HCPCS:77085)
• Diagnostic mammography of 1 breast (HCPCS:77065)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• Ct scan head or brain without contrast (HCPCS:70450)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Diagnostic mammography of both breasts (HCPCS:77066)
• X-ray of knee, 4 or more views (HCPCS:73564)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of chest, 2 views (HCPCS:71046)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment (HCPCS:77085)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Ct scan of upper spine without contrast (HCPCS:72125)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• Biopsy of breast and placement of locating device using x-ray with needle, first growth (HCPCS:19081)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• Ct scan of chest with contrast (HCPCS:71260)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 7/18/2024.

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: