DR. JACOB JOSEPH TOM MD NPI 1912972258

NPI Information

  • NPI: 1912972258
  • Provider Name: DR. JACOB JOSEPH TOM, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 960 N 16TH ST STE 103
    SPRINGFIELD, OR
    ZIP 97477
  • Phone: (541) 726-4694

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NPI Details

DR. Jacob Joseph Tom, MD is a diagnostic radiology radiology in Springfield, OR with 32 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jacob Joseph Tom, MD NPI is 1912972258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1994

The provider's business location address is:

960 N 16TH ST STE 103
SPRINGFIELD, OR
ZIP 97477-175
Phone: (541) 726-4694
Fax: (541) 744-6069

The NPI 1912972258 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.

  • Screening mammography (HCPCS:77067)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Complete ultrasound scan of joint (HCPCS:76881)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Double contrast x-ray of esophagus (HCPCS:74221)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • X-ray of both knees while standing (HCPCS:73565)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • X-ray of both hips, 3-4 views (HCPCS:73522)

The enumeration date for this NPI number is 2/21/2006 and was last updated on 6/8/2011.

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 Radiology39631WASHINGTONYes

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
199990609MEDICARE UPINWASHINGTON
2287539MEDICAIDOREGON

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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