DR. JOHN NICHOLAS JESSE M.D. NPI 1639564115

NPI Information

  • NPI: 1639564115
  • Provider Name: DR. JOHN NICHOLAS JESSE, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 836 W WELLINGTON AVE
    CHICAGO, IL
    ZIP 60657
  • Phone: (773) 296-3563

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NPI Details

DR. John Nicholas Jesse, M.D. is a diagnostic radiology radiology in Chicago, IL with 11 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. John Nicholas Jesse, M.D. NPI is 1639564115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

836 W WELLINGTON AVE
CHICAGO, IL
ZIP 60657-147
Phone: (773) 296-3563
Fax: (458) 217-7768

The NPI 1639564115 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 of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • 3d radiographic procedure (HCPCS:76376)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)

The enumeration date for this NPI number is 4/1/2015 and was last updated on 9/13/2024.

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
12085B0100XRadiologyBody Imaging036.157267ILLINOISNo
22085N0904XRadiologyNuclear Radiology036.157267ILLINOISNo
32085R0202XRadiologyDiagnostic Radiology67902-20WISCONSINNo
42085R0202XRadiologyDiagnostic Radiology036.157267ILLINOISYes

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
11639564115MEDICAIDWISCONSIN

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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