Individual provider Active NPI

Jeffrey S. Jones, M.D.

  • Diagnostic Radiology Physician
  • Louisville, KY
National Provider Identifier
1104851997
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26304 Issued in KY
Practice address
307 N Hurstbourne Pkwy
Suite# 290
Louisville, KY 40222-8597
Phone
(502) 413-6994
Fax
(502) 753-0687
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26304 KY Primary

Addresses

Primary practice location

307 N Hurstbourne Pkwy
Suite# 290
Louisville, KY 40222-8597

Mailing address

1937 Momentum PL
Lockbox 231937
Chicago, IL 60689-5319
Phone (502) 413-6994

Other identifiers 1

IdentifierTypeStateIssuer
64263049MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001485 KY Practitioner - Diagnostic Radiology 3173427606 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Dec 31, 2017 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince May 12, 2018 Accepting new patients
Medical Imaging Consultants, PSC Diagnostic Radiology Past Accepting new patients
PSF PLLC PastSince Dec 3, 2018 Accepting new patients
Kentuckiana Emergency Physicians, PLLC Past Accepting new patients
Kentuckiana Diagnostics Diagnostic Radiology Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1104851997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 MOMENTUM PL",
            "address_2": "LOCKBOX 231937",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895319",
            "telephone_number": "502-413-6994",
            "fax_number": "502-753-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N HURSTBOURNE PKWY",
            "address_2": "SUITE# 290",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402228597",
            "telephone_number": "502-413-6994",
            "fax_number": "502-753-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JEFFREY",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "26304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64263049",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.