Jack M Drew, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

DR.0051824 Issued in CO

Practice address

1400 E Boulder St
Colorado Springs, CO 80909-5533

Phone

(719) 365-5853

Fax

(719) 365-1048

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, TX, OK, CA, PA, NM, MD, DC8 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 8

Specialty

Diagnostic Radiology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians

Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians

Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Quantum Imaging and Therapeutic Associates IncGroup PAC ID 1355254129, 92 clinicians

Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians

Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
• Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
• John F Kennedy Memorial Hospital Hospital, Indio, CA, CCN 050534

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 79)

Interoperability endpoints

• Direct secure messaging: mdrew456417@direct.stlukeshealth.org
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Eagle Partners, PLLC

  • Diagnostic Radiology Physician
  • Duncan, OK
  • NPI 1548450976

  CO, Diagnostic Radiology, OK, TX

  Medicare reassignment Care Compare group NPD
• Golden State Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144872052

  CO, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Quantum Imaging & Therapeutic Associates Inc

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1609863893

  CO, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Radia California Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Santa Rosa, CA
  • NPI 1740982032

  CO, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Radia Inc P S

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607

  CO, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  CO, Diagnostic Radiology, OK, TX

  Medicare reassignment Care Compare group NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  CO, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Imaging Associates of New Mexico LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1629592464

  CA, CO

  Medicare reassignment Care Compare group
• Orthopedic Centers of Colorado, LLC

  • Orthopaedic Surgery Physician
  • Denver, CO
  • NPI 1801339502

  CO

  Medicare reassignment NPD
• Radiology & Imaging Consultants PC

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
  • NPI 1598700825

  CO, Diagnostic Radiology

  Medicare reassignment NPD
• Coast Radiology Imaging and Intervention Inc

  • Diagnostic Radiology Physician
  • Mission Viejo, CA
  • NPI 1376690636

  CA, Diagnostic Radiology

  Medicare reassignment NPD
• Coastal Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • New Bern, NC
  • NPI 1144270307

  CO, Diagnostic Radiology

  Medicare reassignment NPD

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

• Desert Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1104856095

  Hospital

  Care Compare affiliation
• JFK Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Indio, CA
  • NPI 1477584993

  Hospital

  Care Compare affiliation
• Lancaster Hospital Corporation

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Lakewood, CA
  • NPI 1184655581

  Hospital

  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1255321014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 TECHNOLOGY CENTER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786013",
            "telephone_number": "719-578-1162",
            "fax_number": "719-578-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-5853",
            "fax_number": "719-365-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREW",
        "first_name": "JACK",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0051824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24275069",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Drenkow, SLP
• Jennifer A. Drennan, DPT
• Bradly D Dresher, MD
• Christopher Drew
• Hunter Lawrence Drew, DPT
• Matthew Edward Drew, MD
• Zachary Michael Dreyer, DPT
• Daniel Drieslein
• Drift Behavioral Health LLC
• Jesse Driller, PT, DPT, CCI

• All providers in Colorado Springs, CO
• Diagnostic Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.