DR. JEREMY D GILLIAM MD NPI 1538284153

NPI Information

  • NPI: 1538284153
  • Provider Name: DR. JEREMY D GILLIAM, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5001 US HIGHWAY 30 W STE D
    FORT WAYNE, IN
    ZIP 46818
  • Phone: (260) 432-4969

Map and Directions

Get Directions

NPI Details

DR. Jeremy D Gilliam, MD is a diagnostic radiology radiology in Fort Wayne, IN with 23 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jeremy D Gilliam, MD NPI is 1538284153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
ZIP 46818-701
Phone: (260) 432-4969
Fax: (260) 432-4969

The NPI 1538284153 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 head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • 3d radiographic procedure (HCPCS:76376)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Nuclear medicine study of lung circulation (HCPCS:78580)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)

The enumeration date for this NPI number is 3/20/2007 and was last updated on 6/20/2016.

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 Radiology35.091145OHIONo
22085R0202XRadiologyDiagnostic RadiologyR1044KENTUCKYNo
32085R0202XRadiologyDiagnostic Radiology01064785AINDIANAYes

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
1P01500307MEDICARE PININDIANA
2981270002MEDICARE PININDIANA
3200939030MEDICAIDINDIANA
42840742MEDICAIDOHIO
51538284153MEDICAIDMICHIGAN

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

NPI Synchronization or Removal

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.