Active NPI
David E Jensen
- Diagnostic Radiology Physician
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 30566
- Practice address
- 1948 1St Ave NE
Cedar Rapids, IA 52402-5321 - Phone
- (319) 364-0121
- Fax
- (319) 364-5684
- NPI assigned
- Jun 14, 2005
- Last updated
- May 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 30566 | IA | Primary |
Addresses
Primary practice location
1948 1St Ave NE
Cedar Rapids, IA 52402-5321
Mailing address
1948 1St Ave NE
Cedar Rapids, IA 52402-5321
Phone (319) 364-0121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427053891 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000
2214 Madison Rd
Decorah, IA 52101-7813
Phone (614) 340-7740
Hospital & facility affiliations
- SSM Health St Mary's Hospital - Madison
- The Monroe Clinic
- SSM Health St Clare Hospital - Baraboo
- Stoughton Hospital
- Columbus Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 69.68
- Improvement activities
- 40
- Cost
- 79.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Madison Radiologists S C | Diagnostic Radiology | Current | Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Midwest Radiology Outpatient Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Midwest Radiology, PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
1211 Fish Hatchery Rd
Madison, WI 53715
Phone (608) 252-8000
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- djensen40829@direct.unitypoint.org
- djensen524329@direct-ehr-ssmhc.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Diagnostic Radiology Physician
- Saint Paul, MN
- NPI 1720059264
-
- Diagnostic Radiology Physician
- Roseville, MN
- NPI 1952307175
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
-
- Critical Access Hospital
- Columbus, WI
- NPI 1841376183
-
dba SSM Health St Clare Hospital-Baraboo
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
-
dba SSM Health St. Mary's Hospital-Madison
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
-
dba McFarland Urgent Care
- Urgent Care Clinic/Center
- McFarland, WI
- NPI 1477146082
Hospital
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
dba Cottage Grove Urgent Care
- Urgent Care Clinic/Center
- Cottage Grove, WI
- NPI 1811733066
Hospital
-
dba SSM Health Monroe Hospital
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1427053891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1948 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025321",
"telephone_number": "319-364-0121",
"fax_number": "319-364-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025321",
"telephone_number": "319-364-0121",
"fax_number": "319-364-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "30566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427053891",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.