Individual provider Active NPI

Jeremy Rudd Hopkin, M.D.

  • Diagnostic Radiology Physician
  • St George, UT
National Provider Identifier
1558467084
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
RT1234 Issued in NH
Practice address
1380 East Medical Center Dr
Dixie Regional Medical Center
St. George, UT 84790
Phone
(801) 225-6246
NPI assigned
Sep 15, 2006
Last updated
Jan 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 7261615-1205 UT
Diagnostic Radiology Physician 2085R0202X RT1234 NH Primary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 7261615-1205 UT

Addresses

Primary practice location

1380 East Medical Center Dr
Dixie Regional Medical Center
St. George, UT 84790

Mailing address

2794 Canyon Ridge Dr
St George, UT 84770-4401
Phone (801) 699-6665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090714000588 UT Practitioner - Diagnostic Radiology 8123124633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7261615-1205UTMDDiagnostic Neuroimaging (Radiology) Physician
RT1234NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Sep 5, 2018 Accepting new patients
Ihc Health Services Inc Diagnostic Radiology CurrentSince Sep 5, 2018 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 Current Accepting new patients
Tellica Imaging, LLC Diagnostic Radiology CurrentSince Nov 16, 2023 Accepting new patients
St. George Radiology Inc. Diagnostic Radiology CurrentSince Jul 30, 2009 Accepting new patients

Locations

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

1490 E Foremaster Dr
Bldg C
St George, UT 84790
Phone (435) 674-5230

1739 W Sunset Blvd
St George, UT 84770
Phone (435) 634-6000

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

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.

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1558467084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2794 CANYON RIDGE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704401",
            "telephone_number": "801-699-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 EAST MEDICAL CENTER DR",
            "address_2": "DIXIE REGIONAL MEDICAL CENTER",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "801-225-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKIN",
        "first_name": "JEREMY",
        "middle_name": "RUDD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "UT",
            "license": "7261615-1205",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "RT1234",
            "primary": true
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "UT",
            "license": "7261615-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.