Jason Edward Grennan, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

22159 Issued in NE

Practice address

17310 Wright St Ste 103
Omaha, NE 68130-2405

Phone

(833) 228-6889

Fax

(877) 853-0376

NPI assigned

Apr 5, 2006

Last updated

Sep 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA, IL, HI, NE, TX, WY, MA, SD, MN, WA, WI, TN, MI, ND, AR, MO, CA17 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 17

Specialty

Diagnostic Radiology

Education

University of Nebraska College of Medicine, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Trinity HealthGroup PAC ID 7911816020, 292 clinicians

Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Gibson Community Hospital AssociationGroup PAC ID 5092703124, 159 clinicians

Memorial Hospital of Sheridan CountyGroup PAC ID 2163405440, 90 clinicians

Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians

Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Chickasaw Nation Division of Health Chickasaw Nation Medical CenterGroup PAC ID 8426957523, 243 clinicians

Prosser Public Hospital District of Benton CountyGroup PAC ID 6709787872, 111 clinicians

Radiologists of Cape Cod HospitalGroup PAC ID 2961872452, 18 clinicians

McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians

Radiology Consultants of Iowa PLCGroup PAC ID 3577467851, 73 clinicians

Southeast Iowa Regional Medical Center IncGroup PAC ID 3870496417, 259 clinicians

Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians

East Memphis Pet Imaging LLCGroup PAC ID 8820902190, 3 clinicians

Central Kentucky Radiology PLLCGroup PAC ID 8921906983, 54 clinicians

Lima Radiological AssociatesGroup PAC ID 9931003977, 50 clinicians

Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians

Great Plains Radiology LLCGroup PAC ID 2062310899, 39 clinicians

Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians

Prairie Du Chien Memorial Hospital Association IncGroup PAC ID 4981698537, 49 clinicians

The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

East Georgia Radiology LLCGroup PAC ID 7315040698, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057
• Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
• Chickasaw Nation Medical Center Hospital, Ada, OK, CCN 370180
• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
• Tamarack Health Hayward Medical Center Hospital, Hayward, WI, CCN 521336

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 77)

Locations (25 of 74)

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

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.

• Avera McKennan

  dba Avera Medical Group Butte

  • Rural Health Clinic/Center
  • Butte, NE
  • NPI 1568492551
  Medicare reassignment Care Compare group NPD
• Diagnostic Radiology PC

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1497713291
  Medicare reassignment Care Compare group NPD
• Great Plains Radiology LLC

  dba Kearney Radiologists

  • Diagnostic Radiology Physician
  • Kearney, NE
  • NPI 1427089838
  Medicare reassignment Care Compare group NPD
• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1346292521

  Diagnostic Radiology, NE

  Medicare reassignment Care Compare group NPD
• Big Horn Health Network

  dba Sheridan Memorial Clinics

  • Internal Medicine Physician
  • Sheridan, WY
  • NPI 1861722688
  Medicare reassignment Care Compare group NPD
• Central Kentucky Radiology PLLC

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1952350761

  NE

  Medicare reassignment Care Compare group NPD
• Chickasaw Nation Division of Health

  dba Chickasaw Nation Medical Center

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1255364923

  TX

  Medicare reassignment Care Compare group NPD
• East Georgia Radiology LLC

  • Diagnostic Radiology Physician
  • Statesboro, GA
  • NPI 1003973207

  NE

  Medicare reassignment Care Compare group NPD
• East Memphis Pet Imaging, LLC

  • Diagnostic Radiology Physician
  • Memphis, TN
  • NPI 1124130687

  NE

  Medicare reassignment Care Compare group NPD
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  Medicare reassignment Care Compare group NPD
• Hannibal Regional Healthcare System Inc

  • Multi-Specialty Clinic/Center
  • Hannibal, MO
  • NPI 1003956095

  NE

  Medicare reassignment Care Compare group NPD
• Lima Radiological Associates

  • Diagnostic Radiology Physician
  • Lima, OH
  • NPI 1497715361

  NE

  Medicare reassignment Care Compare group NPD

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

• Chickasaw Nation Division of Health

  dba Chickasaw Nation Medical Center

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1255364923
  Care Compare affiliation
• Chickasaw Nation Division of Health

  dba Chickasaw Nation Tishomingo Clinic

  • Primary Care Clinic/Center
  • Tishomingo, OK
  • NPI 1649330242

  Hospital

  Care Compare affiliation
• Chickasaw Nation Division of Health

  dba Chickasaw Nation Ardmore Clinic

  • Primary Care Clinic/Center
  • Ardmore, OK
  • NPI 1730249186

  Hospital

  Care Compare affiliation
• Chickasaw Nation Division of Health

  dba Chickasaw Nation Purcell Clinic

  • Primary Care Clinic/Center
  • Purcell, OK
  • NPI 1982764395

  Hospital

  Care Compare affiliation
• Chickasaw Nation Division of Health Chickasaw Nation Medical Center

  • Primary Care Clinic/Center
  • Ada, OK
  • NPI 1962563148

  Hospital

  Care Compare affiliation
• Medical Services, Inc

  dba Tamarack Health Hayward Medical Center

  • Critical Access Hospital
  • Hayward, WI
  • NPI 1912992827
  Care Compare affiliation
• Mercy Health-St Ritas Medical Center LLC

  dba Inpatient Psych Unit

  • Psychiatric Hospital Unit
  • Lima, OH
  • NPI 1447276936
  Care Compare affiliation
• Mercy Health-St Ritas Medical Center LLC

  dba Mercy Health-St Rita's Medical Center

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1811939887
  Care Compare affiliation
• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation
• Southeast Iowa Regional Medical Center, Inc.

  dba Southeast Iowa Regional Medical Center

  • General Acute Care Hospital
  • West Burlington, IA
  • NPI 1134168263
  Care Compare affiliation

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1457313314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17310 WRIGHT ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302405",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-482-5301",
            "fax_number": "573-248-5302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Burdick Expy W",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014406",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRENNAN",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "9563A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M9390",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "15088",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2005019089",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "22159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Whitney Grenfell
• Susan Greni, MD
• Carrie Grenier
• Robert F. Grenier, PHARM. D.
• Allison Q Grennan, PHD
• Jill Jene Grennan, M.D.
• Jill Greser
• Bettie Gresham
• Maliya Kerae'a Gresham
• Maurice Gresham

• Diagnostic Radiology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.