DR. JACOB ANDREW SEDRICK DO NPI 1699935064

NPI Information

  • NPI: 1699935064
  • Provider Name: DR. JACOB ANDREW SEDRICK, DO
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3124 JESSICA ST
    JOPLIN, MO
    ZIP 64804
  • Phone: (810) 429-0514

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NPI Details

DR. Jacob Andrew Sedrick, DO is a diagnostic radiology radiology in Joplin, MO with 17 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jacob Andrew Sedrick, DO NPI is 1699935064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:2008

The provider's business location address is:

3124 JESSICA ST
JOPLIN, MO
ZIP 64804-398
Phone: (810) 429-0514

The NPI 1699935064 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)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • 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 knee, 3 views (HCPCS:73562)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • 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)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)

The enumeration date for this NPI number is 6/10/2008 and was last updated on 8/30/2024.

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
12085R0202XRadiologyDiagnostic Radiology5812OKLAHOMANo
22085R0202XRadiologyDiagnostic Radiology0538184KANSASNo
32085R0202XRadiologyDiagnostic Radiology34011141OHIONo
42085R0202XRadiologyDiagnostic Radiology2015014437MISSOURIYes
52085R0202XRadiologyDiagnostic RadiologyOP61464282WASHINGTONNo
62085R0202XRadiologyDiagnostic RadiologyE-13387ARKANSASNo

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
1200590630AMEDICAIDOKLAHOMA
21699935064MEDICAIDMISSOURI

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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