PETER DANIEL JURISICH D.O. NPI 1629083407

NPI Information

  • NPI: 1629083407
  • Provider Name: PETER DANIEL JURISICH, D.O.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2 MEDICAL PLAZA DR STE 175
    ROSEVILLE, CA
    ZIP 95661
  • Phone: (916) 782-2146

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NPI Details

Peter Daniel Jurisich, D.O. is a cardiovascular disease internal medicine in Roseville, CA with 33 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. Peter Daniel Jurisich, D.O. NPI is 1629083407. 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:

2 MEDICAL PLAZA DR STE 175
ROSEVILLE, CA
ZIP 95661-049
Phone: (916) 782-2146

The NPI 1629083407 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 (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)
  • Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation (HCPCS:93656)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Insertion of catheters and destruction of tissue to treat abnormal heart rhythm (HCPCS:93655)
  • Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec (HCPCS:G2066)
  • Insertion of tube for 3d mapping of electrical impulses to heart muscle (HCPCS:93613)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Ultrasound evaluation of heart blood vessel with review by radiologist (HCPCS:93662)
  • Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
  • Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate) (HCPCS:93653)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 7/30/2006 and was last updated on 2/28/2014.

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
1207RC0001XInternal MedicineClinical Cardiac Electrophysiology20A8542CALIFORNIANo
2207RC0000XInternal MedicineCardiovascular Disease20A8542CALIFORNIAYes

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
1102287OTHERCALIFORNIAHEALTH NET
21671625OTHERCALIFORNIAGREAT WEST
3020A85421MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
47450546OTHERCALIFORNIAAETNA
5H88494MEDICARE UPIN
6000810778930OTHERCALIFORNIAPHCS
72361104OTHERCALIFORNIAUNITED HEALTHCARE
8020A85420OTHERCALIFORNIABLUE SHIELD
900AX85420MEDICAIDCALIFORNIA
1020A542OTHERCALIFORNIABLUE CROSS
1195883OTHERCALIFORNIAINTERPLAN
1290136861OTHERCALIFORNIAPACIFICARE
132121684OTHERCALIFORNIAFIRST HEALTH
144911481OTHERCALIFORNIACIGNA

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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