DR. JASON BALTAR RODULFA MD NPI 1891102620

NPI Details

DR. Jason Baltar Rodulfa, MD is a diagnostic radiology radiology in Coeur D Alene, ID with 12 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jason Baltar Rodulfa, MD NPI is 1891102620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

700 W IRONWOOD DR STE 175
COEUR D ALENE, ID
ZIP 83814-401
Phone: (208) 625-6300
Fax: (208) 625-6301

The NPI 1891102620 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.

• Ct scan head or brain without contrast (HCPCS:70450)
• X-ray of chest, 1 view (HCPCS:71045)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Ct scan of blood vessels of neck with contrast (HCPCS:70498)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Mri scan of brain without contrast (HCPCS:70551)
• Ct scan of blood vessels of head with contrast (HCPCS:70496)
• X-ray of hip, 2-3 views (HCPCS:73502)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• X-ray of chest, 2 views (HCPCS:71046)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Ct scan of upper spine without contrast (HCPCS:72125)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of knee, 4 or more views (HCPCS:73564)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Ultrasound scan of transplanted kidney (HCPCS:76776)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• X-ray of knee, 1-2 views (HCPCS:73560)
• X-ray of thigh bone, minimum 2 views (HCPCS:73552)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• X-ray of knee, 3 views (HCPCS:73562)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of lower leg, 2 views (HCPCS:73590)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• Ct scan of face without contrast (HCPCS:70486)
• Mri scan of blood vessels of head without contrast (HCPCS:70544)
• X-ray of upper spine, 4-5 views (HCPCS:72050)
• Ct scan of chest with contrast (HCPCS:71260)
• X-ray series of abdomen with single x-ray of chest (HCPCS:74022)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• X-ray of pelvis, minimum of 3 views (HCPCS:72190)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Ultrasound of leg arteries or artery grafts (HCPCS:93925)
• X-ray of elbow, minimum of 3 views (HCPCS:73080)
• Ct scan of soft tissue of neck before and after contrast (HCPCS:70492)
• Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)

The enumeration date for this NPI number is 7/14/2014 and was last updated on 7/22/2025.

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: