THOMAS JERRY IBACH M.D. NPI 1538116595

NPI Information

  • NPI: 1538116595
  • Provider Name: THOMAS JERRY IBACH, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7595 ANAGRAM DR
    EDEN PRAIRIE, MN
    ZIP 55344
  • Phone: (612) 573-2200

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NPI Details

Thomas Jerry Ibach, M.D. is a diagnostic radiology radiology in Eden Prairie, MN with 41 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Thomas Jerry Ibach, M.D. NPI is 1538116595. 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:

7595 ANAGRAM DR
EDEN PRAIRIE, MN
ZIP 55344-399
Phone: (612) 573-2200
Fax: (612) 573-2274

The NPI 1538116595 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of hip, 1 view (HCPCS:73501)
  • Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml (HCPCS:A9579)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Screening mammography (HCPCS:77067)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of face without contrast (HCPCS:70486)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Screening 3d breast mammography (HCPCS:77063)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)

The enumeration date for this NPI number is 5/27/2006 and was last updated on 7/21/2022.

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 Radiology33694MINNESOTAYes

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
1100494OTHERMINNESOTAUCARE
2298G3IBOTHERMINNESOTABLUE CROSS
39F048IBOTHERMINNESOTABLUE CROSS
41025324OTHERMINNESOTAPREFERRED ONE
5300085351OTHERMINNESOTARAILROAD MEDICARE MN
6883505500MEDICAIDMINNESOTA
722833OTHERMINNESOTAAMERICA'S PPO
8HP13581OTHERMINNESOTAHEALTHPARTNERS
91272971MEDICAIDIOWA
10253015OTHERMINNESOTAMIDLANDS CHOICE INC
11300032803OTHERMINNESOTARAILROAD MEDICAR WI
128734132OTHERMINNESOTADAKOTA CARE
1334402300MEDICAIDWISCONSIN

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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