NPIMap

Individual provider Active NPI

Joshua John Sedrel Jarvis, MD

  • Diagnostic Radiology Physician
  • Burlington, VT
National Provider Identifier
1174818967
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
060.0004025 Issued in VT
Practice address
111 Colchester Ave
Uvm Medical Center-Radiology
Burlington, VT 05401-1473
Phone
(802) 847-0000
NPI assigned
Jun 9, 2011
Last updated
Jun 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R-9228 IA
Diagnostic Radiology Physician 2085R0202X R-9228 IA
Diagnostic Radiology Physician 2085R0202X 060.0004025 VT Primary

Addresses

Primary practice location

111 Colchester Ave
Uvm Medical Center-Radiology
Burlington, VT 05401-1473

Mailing address

111 Colchester Ave
Uvm Medical Center-Radiology
Burlington, VT 05401-1473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20170614001256 WI Practitioner - Diagnostic Radiology 6103129796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of the Fox Valley SCGroup PAC ID 0446152748, 73 clinicians

Practice addresses (Care Compare)

333 N Commercial St
Neenah, WI 54956-2657
Phone (920) 886-7525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-9228IAMDDiagnostic Radiology Physician
060.0004025VTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Jan 4, 2021 Accepting new patients
Madison Radiologists S C Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Marshfield Clinic Inc PastSince Jul 1, 2017 Accepting new patients

Locations

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

333 N Commercial St
Neenah, WI 54956
Phone (877) 977-0774

333 N Commercial St
Ste 100
Neenah, WI 54956
Phone (920) 722-1750

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Organizations & group practices 4

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1174818967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "UVM MEDICAL CENTER-RADIOLOGY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "UVM MEDICAL CENTER-RADIOLOGY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "JOSHUA",
        "middle_name": "JOHN SEDREL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R-9228",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "R-9228",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "060.0004025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.