Individual provider Active NPI

Jorge Eduardo De Amorim Filho, MD

  • Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1467725929
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7771770-1205 Issued in UT
Practice address
30 N 1900 E
Salt Lake City, UT 84132-2638
Phone
(801) 581-6803
NPI assigned
Feb 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7771770-1205 UT Primary

Addresses

Primary practice location

30 N 1900 E
Salt Lake City, UT 84132-2638

Mailing address

2157 E 3380 S
Salt Lake City, UT 84109-2638
Phone (801) 842-1035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, ID2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141105002785 NV Practitioner - General Surgery 7416189410 Reassigns benefits to 1 organization
I20180604002217 ID Practitioner - General Surgery 7416189410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Utah School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocatello Health Services LLCGroup PAC ID 6608927637, 171 clinicians

Practice addresses (Care Compare)

777 Hospital Way
Pocatello, ID 83201-5175

Hospital & facility affiliations

  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)22
Upper gastrointestinal (GI) endoscopy for acid reflux12
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15453NVMDPharmacist
7771770-1205UTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Nevada Physician Practices LLC Current Accepting new patients
Pocatello Health Services, LLC CurrentSince Apr 25, 2018 Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients
Pocatello Health Services, LLC CurrentSince Apr 25, 2018 Accepting new patients
Pocatello Hospital LLC Current Accepting new patients
Northeastern Nevada Physician Practices LLC Surgery CurrentSince Aug 27, 2014 Accepting new patients

Locations

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

777 Hospital Way
Ste 201
Pocatello, ID 83201
Phone (208) 239-2260

1995 Errecart Blvd
Ste 203
Elko, NV 89801
Phone (775) 777-2061

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

1995 Errecart Blvd
Ste 110
Elko, NV 89801
Phone (775) 738-8877

Interoperability endpoints

  • Direct secure messaging: jdeamorimfilho179550@ahs.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1467725929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 E 3380 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092638",
            "telephone_number": "801-842-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841322638",
            "telephone_number": "801-581-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE AMORIM FILHO",
        "first_name": "JORGE",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "7771770-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.