Individual provider Active NPI

Jonathan Jo, MD

  • Vascular & Interventional Radiology Physician
  • Twin Falls, ID
National Provider Identifier
1225418361
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
M-17471 Issued in ID
Practice address
801 Pole Line Rd W
Twin Falls, ID 83301-5799
Phone
(208) 814-1500
NPI assigned
Jun 3, 2015
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD61199843 WA
Vascular & Interventional Radiology Physician 2085R0204X MD206381 OR
Vascular & Interventional Radiology Physician 2085R0204X M-17471 ID Primary

Addresses

Primary practice location

801 Pole Line Rd W
Twin Falls, ID 83301-5799

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8866

Other practice location 1

910 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-0200

Other practice location 2

700 Lincoln St Ste 100
Kelso, WA 98626-1062
Phone (360) 425-5131

Other practice location 3

10 Coburg Rd Ste 300
Eugene, OR 97401-7481
Phone (541) 681-8595

Other practice location 4

445 Harlow Rd Ste 200
Springfield, OR 97477-1341
Phone (541) 302-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210927002693 OR Practitioner - Diagnostic Radiology 9032516455 Reassigns benefits to 9 organizations
I20240523001167 ID Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9032516455 Reassigns benefits to 1 organization
I20240729004091 WA Practitioner - Diagnostic Radiology 9032516455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Medical Imaging PLLCGroup PAC ID 1951711050, 23 clinicians
Radiology Associates PCGroup PAC ID 2567364847, 25 clinicians
Oregon Imaging Centers LLCGroup PAC ID 7416859749, 27 clinicians
PeacehealthGroup PAC ID 5092624296, 22 clinicians

Practice addresses (Care Compare)

1200 Hilyard St
Suite 330
Eugene, OR 97401-8110
Phone (775) 283-3130

512 Pole Line Rd
Suite 1
Twin Falls, ID 83301-6367
Phone (208) 735-5555

700 Lincoln St
Suite 100
Kelso, WA 98626-1062
Phone (360) 425-5131

940 E 5TH St
Coquille, OR 97423-1666
Phone (541) 396-3101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.45 of 100Reported as group
Quality
92.91
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61199843WAMDDiagnostic Radiology Physician
MD206381ORMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Imaging Centers, L.L.C. Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Coquille Valley Hospital District CurrentSince Apr 26, 2023 Accepting new patients
Peacehealth CurrentSince Jul 1, 2024 Accepting new patients
Radiology Associates, PC Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Fanno Creek Clinic LLC CurrentSince Oct 1, 2024 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Feb 1, 2025 Accepting new patients
Radiology Associates PC Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Coquille Valley Hospital District CurrentSince Apr 26, 2023 Accepting new patients
Renew, LLC Vascular & Interventional Radiology CurrentSince Jun 1, 2022 Accepting new patients
Mid Rogue Imaging Center CurrentSince Jun 1, 2024 Accepting new patients
Innovative Medical Imaging, PLLC Diagnostic Radiology CurrentSince Oct 2, 2023 Accepting new patients
Peacehealth CurrentSince Jul 1, 2024 Accepting new patients
Peacehealth Past Accepting new patients

Locations

512 Pole Line Rd
Ste 1
Twin Falls, ID 83301
Phone (208) 735-5555

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

10 Coburg Rd
#220
Eugene, OR 97401
Phone (541) 681-8586

10 Coburg Rd
Ste 300
Eugene, OR 97401
Phone (541) 681-8595

1200 Hilyard St
Ste 330
Eugene, OR 97401
Phone (541) 334-7550

1255 Hilyard St
Eugene, OR 97401
Phone (503) 686-7300

2400 SW Vermont St
Portland, OR 97219
Phone (503) 452-0915

3377 Riverbend Dr
Ste 150
Springfield, OR 97477
Phone (541) 222-6000

445 Harlow Rd
Ste 200
Springfield, OR 97477
Phone (541) 302-7771

910 S Scheuber Rd
Centralia, WA 98531
Phone (360) 736-0200

700 Lincoln St
Ste 100
Kelso, WA 98626
Phone (360) 425-5131

5400 MacArthur Blvd
Vancouver, WA 98661
Phone (360) 696-5100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/
  • Direct secure messaging: jjo01@yourcarecommunity.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1225418361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 POLE LINE RD W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015799",
            "telephone_number": "208-814-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 S Scheuber Rd",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985319027",
            "country_code": "US",
            "telephone_number": "360-736-0200",
            "fax_number": "360-736-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Lincoln St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kelso",
            "state": "WA",
            "postal_code": "986261062",
            "country_code": "US",
            "telephone_number": "360-425-5131",
            "fax_number": "360-425-5509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Coburg Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974017481",
            "country_code": "US",
            "telephone_number": "541-681-8595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Harlow Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974771341",
            "country_code": "US",
            "telephone_number": "541-302-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JO",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61199843",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OR",
            "license": "MD206381",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "ID",
            "license": "M-17471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.