NPIMap

Individual provider Active NPI

Jared Jon Pikus, DO,

  • Family Medicine Physician
  • Santaquin, UT
National Provider Identifier
1164650289
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7747244-1204 Issued in UT
Practice address
210 E Main St
Santaquin, UT 84655-7076
Phone
(801) 754-3600
Fax
(801) 754-3322
NPI assigned
Jun 26, 2009
Last updated
May 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7747244-1204 UT Primary

Addresses

Primary practice location

210 E Main St
Santaquin, UT 84655-7076

Mailing address

48 W 1500 N
Nephi, UT 84648-8900
Phone (435) 623-3200

Other identifiers 1

IdentifierTypeStateIssuer
1164650289MedicaidID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000436 UT Practitioner - Family Practice 4880882406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Medical CenterGroup PAC ID 2668380460, shared by 5 NPIs, 25 clinicians

Practice addresses (Care Compare)

48 W 1500
Nephi, UT 84648-8900
Phone (435) 623-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.28 of 100Reported as group
Quality
63.71
Promoting interoperability
98
Improvement activities
40
Cost
75.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7747244-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Medical Center Current Accepting new patients
Central Valley Medical Center Family Medicine CurrentSince May 4, 2020 Accepting new patients

Locations

48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000

210 E Main St
Santaquin, UT 84655
Phone (801) 373-2499

Interoperability endpoints

  • Direct secure messaging: jaredpikus@cvmed.cernerdirect.com

Organizations & group practices 2

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1164650289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 W 1500 N",
            "city": "NEPHI",
            "state": "UT",
            "postal_code": "846488900",
            "telephone_number": "435-623-3200",
            "fax_number": "801-623-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MAIN ST",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846557076",
            "telephone_number": "801-754-3600",
            "fax_number": "801-754-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKUS",
        "first_name": "JARED",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "DO,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "7747244-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164650289",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santaquin, UT

Sources for this page

Verify at the official NPI Registry.