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JEROME M SAMPSON MD NPI 1487681599


NPI Information

NPI: 1487681599
Provider Name: JEROME M SAMPSON, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
3000 32ND AVE S
FARGO, ND
ZIP 58103
Phone: (701) 364-8000
Get Directions

Jerome M Sampson, MD is a diagnostic radiology radiology in Fargo, ND with 46 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jerome M Sampson, MD NPI is 1487681599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1978

The provider's business location address is:

3000 32ND AVE S
FARGO, ND
ZIP 58103-132
Phone: (701) 364-8000
Fax: (701) 364-8078

The NPI 1487681599 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 (HCPCS:70450)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mammography of both breasts (HCPCS:77067)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ct scan chest (HCPCS:71250)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • Ct scan of face (HCPCS:70486)

The enumeration date for this NPI number is 6/26/2006 and was last updated on 7/18/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiology4703NORTH DAKOTANo
22085R0204XRadiologyVascular & Interventional Radiology4703NORTH DAKOTANo
32085R0202XRadiologyDiagnostic Radiology4703NORTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1676650OTHERNORTH DAKOTAARAZ #
2634208600MEDICAIDNORTH DAKOTA
3300030753MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTAFGO RAILROAD MEDICARE #
41600852OTHERNORTH DAKOTAMEDICA FGO #
5HP25764OTHERNORTH DAKOTAHEALTHPARTNERS #
6974OTHERNORTH DAKOTANDBS #
791427SAOTHERNORTH DAKOTAMNBS #
8974MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTANDMD #
9713195MEDICARE PINNORTH DAKOTA
109258OTHERNORTH DAKOTASIOUX VALLEY PROV #
1114146MEDICAIDNORTH DAKOTA
12DA9011015581OTHERNORTH DAKOTAPREF 1 #
131600853OTHERNORTH DAKOTAMEDICA INN #
14D26260MEDICARE UPINNORTH DAKOTA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.