Active NPI
Jeff D Jensen
- Vascular & Interventional Radiology Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 11322555-1205
- Practice address
- 1308 E 900 S Ste C
St George, UT 84790-8730 - Phone
- (435) 673-2301
- NPI assigned
- Jun 23, 2013
- Last updated
- Sep 1, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL35812 | SC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 11322555-1205 | UT | Primary |
Addresses
Primary practice location
1308 E 900 S Ste C
St George, UT 84790-8730
Mailing address
1308 E 900 S Ste C
St George, UT 84790-8730
Phone (435) 673-2301
Other practice location 1
101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ND, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University of Utah School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000
Hospital & facility affiliations
- St. George Regional Hospital
- Intermountain Medical Center
- CHI St Alexius Health
- Intermountain Health McKay-Dee Hospital
- Mesa View Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 73 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL35812 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| St Alexius Medical Center | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Faith Regional Physician Services, LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Tellica Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| St. George Radiology Inc. | Diagnostic Radiology | Current | Accepting new patients |
Locations
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150
2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194
5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100
36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669
1308 E 900 S
Ste C
St George, UT 84790
Phone (435) 673-2301
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
Organizations & group practices 11
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 IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
Internal Medicine
-
- Diagnostic Radiology Physician
- St George, UT
- NPI 1790736130
-
dba CHI St. Alexius Health Clinics
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
Internal Medicine
-
dba St George Regional Hospital Physicians
- Multi-Specialty Clinic/Center
- St George, UT
- NPI 1437169497
Internal Medicine
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Intermountain St. George Imaging Center
- Physiological Laboratory
- St George, UT
- NPI 1578206462
-
- Physiological Laboratory
- Spanish Fork, UT
- NPI 1518727734
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1275074577
-
dba CHI St. Alexius Health
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health McKay-Dee Hospital
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
-
dba Intermountain Health Intermountain Medical Center
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
dba Mesa View Regional Hospital
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
-
dba CHI St. Alexius Health
- General Acute Care Hospital
- Bismarck, ND
- NPI 1306832654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1437598422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 E 900 S STE C",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847908730",
"telephone_number": "435-673-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 E 900 S STE C",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847908730",
"telephone_number": "435-673-2301"
}
],
"practiceLocations": [
{
"address_1": "101 E Wood St",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293033040",
"country_code": "US",
"telephone_number": "864-560-6929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "JEFF",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-23",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL35812",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "UT",
"license": "11322555-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.