Individual provider Active NPI

Jeff D Jensen

  • Vascular & Interventional Radiology Physician
  • St George, UT
National Provider Identifier
1437598422
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
11322555-1205 Issued in UT
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NE3 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
I20190717002112 UT Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6002040631 Reassigns benefits to 3 organizations
I20210419002377 ND Practitioner - Diagnostic Radiology 6002040631 Reassigns benefits to 1 organization
I20220921003553 NE Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 6002040631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Utah School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
St. George Radiology IncGroup PAC ID 7214838747, 6 clinicians
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL35812SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Dec 28, 2019 Accepting new patients
St Alexius Medical Center CurrentSince Feb 24, 2021 Accepting new patients
St. Alexius Medical Center CurrentSince Feb 24, 2021 Accepting new patients
Faith Regional Physician Services, LLC Internal Medicine CurrentSince Aug 8, 2022 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Aug 8, 2022 Accepting new patients
Ihc Health Services Inc Internal Medicine CurrentSince Dec 28, 2019 Accepting new patients
Tellica Imaging, LLC CurrentSince Nov 16, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince May 25, 2023 Accepting new patients
Ihc Health Services Inc Internal Medicine Current Accepting new patients
Tellica Imaging, LLC Diagnostic Radiology CurrentSince Nov 16, 2023 Accepting new patients
St. George Radiology Inc. Diagnostic Radiology CurrentSince Jul 1, 2019 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.