JEFFREY S PHELAN MD NPI 1497734123

NPI Information

  • NPI: 1497734123
  • Provider Name: JEFFREY S PHELAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2355 HIGHWAY 36 W STE 100
    ROSEVILLE, MN
    ZIP 55113
  • Phone: (651) 292-2000

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NPI Details

Jeffrey S Phelan, MD is a diagnostic radiology radiology in Roseville, MN with 30 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jeffrey S Phelan, MD NPI is 1497734123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN
ZIP 55113-905
Phone: (651) 292-2000

The NPI 1497734123 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)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)

The enumeration date for this NPI number is 1/11/2006 and was last updated on 7/21/2021.

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 Radiology38889MINNESOTAYes

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
1821224400MEDICAIDMINNESOTA

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: 3/30/2025

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