Provider Type Icon

JON STEPHEN PORTNOFF M.D. NPI 1609874445


NPI Information

NPI: 1609874445
Provider Name: JON STEPHEN PORTNOFF, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
260 HOSPITAL DR
SUITE 207
UKIAH, CA
ZIP 95482
Phone: (707) 463-2400
Get Directions

Jon Stephen Portnoff, M.D. is a cardiovascular disease internal medicine in Ukiah, CA with 40 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Jon Stephen Portnoff, M.D. NPI is 1609874445. 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:

260 HOSPITAL DR
SUITE 207
UKIAH, CA
ZIP 95482-533
Phone: (707) 463-2400
Fax: (707) 463-3520

The NPI 1609874445 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.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)
  • Remote evaluations of defibrillator up to 90 days with analysis, review and report (HCPCS:93295)
  • Remote evaluations of single, dual, or multiple lead pacemaker system with qualified health care professional analysis, review, and report, up to 90 days (HCPCS:93294)

The enumeration date for this NPI number is 7/13/2005 and was last updated on 10/25/2012.


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
1207RI0011XInternal MedicineInterventional CardiologyA43219CALIFORNIANo
2207RC0000XInternal MedicineCardiovascular DiseaseA43219CALIFORNIAYes

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
100A432196MEDICARE PINCALIFORNIA
200A432190MEDICAIDCALIFORNIA
3CJ909ZMEDICARE PINCALIFORNIA
400A432190OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
5060020995OTHERCALIFORNIARAILROAD MEDICARE
600A432191MEDICARE PINCALIFORNIA
7ZZZ00872ZOTHERCALIFORNIAMEDICARE PTAN

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.