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DR. JOHN M JACOBS M.D. NPI 1912947995


NPI Information

NPI: 1912947995
Provider Name: DR. JOHN M JACOBS, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Organization: INTERMOUNTAIN HEALTHCARE SERVICES, INC

PECOS Registration: Yes

Address:
5444 GREEN ST
MURRAY, UT
ZIP 84123
Phone: (801) 262-8120
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DR. John M Jacobs, M.D. is a vascular and interventional radiology radiology in Murray, UT with 43 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. John M Jacobs, M.D. NPI is 1912947995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

5444 GREEN ST
MURRAY, UT
ZIP 84123-632
Phone: (801) 262-8120
Fax: (801) 262-5721

The NPI 1912947995 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, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)

The enumeration date for this NPI number is 6/7/2006 and was last updated on 9/12/2012.


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
12085R0202XRadiologyDiagnostic RadiologyM-8403IDAHONo
22085R0202XRadiologyDiagnostic Radiology168972-1205UTAHNo
32085R0204XRadiologyVascular & Interventional Radiology168972-1205UTAHYes

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
107258MEDICAIDUTAH
2D87607MEDICARE UPINUTAH
3005542726MEDICARE PINUTAH

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: 11/14/2023

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.