DR. MICHAEL J JENNEWEIN MD NPI 1548288145

NPI Information

  • NPI: 1548288145
  • Provider Name: DR. MICHAEL J JENNEWEIN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3050 MONTVALE DR STE A
    SPRINGFIELD, IL
    ZIP 62704
  • Phone: (217) 726-8096

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NPI Details

DR. Michael J Jennewein, MD is a diagnostic radiology radiology in Springfield, IL with 34 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Michael J Jennewein, MD NPI is 1548288145. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1991

The provider's business location address is:

3050 MONTVALE DR STE A
SPRINGFIELD, IL
ZIP 62704-924
Phone: (217) 726-8096

The NPI 1548288145 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)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 7/18/2006 and was last updated on 6/29/2021.

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 Radiology036128049ILLINOISYes
22085R0202XRadiologyDiagnostic Radiology2012016497MISSOURINo
32085R0202XRadiologyDiagnostic Radiology4301077615MICHIGANNo

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
1036128049MEDICAIDILLINOIS
2102468646MEDICAIDPENNSYLVANIA

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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