Jake Vrdoljak, MD

Primary specialty

Radiological Physics PhysicianTaxonomy code 2085R0205X

License

0101222180 Issued in VA

Practice address

8926 Woodyard Rd
Suite 301
Clinton, MD 20735

Phone

(301) 856-3670

Fax

(301) 868-0129

NPI assigned

Jul 15, 2005

Last updated

Oct 7, 2026By 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 9

Addresses

Other identifiers 3

Other names 1

• Vatroslav Vrdoljak Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC, VA, MD, TX, WI, TN, MN, IA, MA, ND, AR, MO, WY, IL, SC, SD, WA, CA, NM, NE, CT, NC22 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 22

Specialty

Diagnostic Radiology

Education

Chicago College of Medicine and Surgery, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Southern Radiology Associates PLLCGroup PAC ID 7214913649, 41 clinicians

Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians

Trinity HealthGroup PAC ID 7911816020, 292 clinicians

Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians

Ifrc LLCGroup PAC ID 2961829882, 135 clinicians

Trinity Health of New England Provider Network Organization IncGroup PAC ID 0941113567, 644 clinicians

Hegg Memorial HospitalGroup PAC ID 5193718757, shared by 4 NPIs, 44 clinicians

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

Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

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

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

Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Avera McKennanGroup PAC ID 0345157103, 957 clinicians

McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians

Cheyenne Radiology GroupGroup PAC ID 1951293844, 34 clinicians

Great Plains Radiology LLCGroup PAC ID 2062310899, 39 clinicians

Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians

Mahaska County HospitalGroup PAC ID 2769388677, 128 clinicians

Radiologic Medical Services PCGroup PAC ID 3577451491, 29 clinicians

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

Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians

Camelot Radiology Associates LTDGroup PAC ID 4880580521, 24 clinicians

X-Ray Associates of New Mexico PCGroup PAC ID 6709879430, 53 clinicians

East Georgia Radiology LLCGroup PAC ID 7315040698, 44 clinicians

State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians

Associated Radiologists LTDGroup PAC ID 8123009941, 38 clinicians

Gem State Radiology LLPGroup PAC ID 9335044833, 60 clinicians

Lima Radiological AssociatesGroup PAC ID 9931003977, 50 clinicians

Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057
• University of Iowa Health Care Medical Center Down Hospital, Iowa City, IA, CCN 160029
• Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
• Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022
• Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 98)

Locations (25 of 106)

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.

• Allen Memorial Hospital Corporation

  dba Allen Hospital

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1346292521

  DC, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Associated Radiologists, LTD.

  • Diagnostic Radiology Physician
  • Jonesboro, AR
  • NPI 1215931290

  DC

  Medicare reassignment Care Compare group NPD
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678

  DC

  Medicare reassignment Care Compare group NPD
• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532
  Medicare reassignment Care Compare group NPD
• Camelot Radiology Associates LTD

  dba Northern Illinois Radiologists

  • Diagnostic Radiology Physician
  • Freeport, IL
  • NPI 1841244753

  DC, VA

  Medicare reassignment Care Compare group NPD
• Cheyenne Radiology Group

  • Radiology Clinic/Center
  • Cheyenne, WY
  • NPI 1023056082

  DC

  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
• Diagnostic Radiology PC

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1497713291

  DC

  Medicare reassignment Care Compare group NPD
• East Georgia Radiology LLC

  • Diagnostic Radiology Physician
  • Statesboro, GA
  • NPI 1003973207

  DC

  Medicare reassignment Care Compare group NPD
• Freeport Memorial Hospital

  dba FHN-Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788

  DC, VA

  Medicare reassignment Care Compare group NPD
• Grand Island Radiology Associates PC

  dba Heartland Radiology

  • Diagnostic Radiology Physician
  • Grand Island, NE
  • NPI 1932136405

  DC

  Medicare reassignment Care Compare group NPD
• Great Plains Radiology LLC

  dba Kearney Radiologists

  • Diagnostic Radiology Physician
  • Kearney, NE
  • NPI 1427089838

  DC

  Medicare reassignment Care Compare group NPD

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

• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  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
• Southeast Iowa Regional Medical Center, Inc.

  dba Southeast Iowa Regional Medical Center

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

  dba Spartanburg Medical Center- Psychiatric Unit

  • Psychiatric Hospital Unit
  • Spartanburg, SC
  • NPI 1033681630
  Care Compare affiliation
• Spartanburg Medical Center

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1326373697

  Hospital

  Care Compare affiliation
• Spartanburg Medical Center

  • General Acute Care Hospital
  • Spartanburg, SC
  • NPI 1609807122
  Care Compare affiliation
• Spartanburg Medical Center

  dba Spartanburg Medical Center-Center for Rehabilitative Medicine

  • Rehabilitation Hospital Unit
  • Spartanburg, SC
  • NPI 1942772546
  Care Compare affiliation
• State University of Iowa

  dba University of Iowa Health Care Medical Center Downtown

  • General Acute Care Hospital
  • Iowa City, IA
  • NPI 1699541870
  Care Compare affiliation

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1619976230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD",
            "address_2": "SUITE 301",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-856-3670",
            "fax_number": "301-868-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "319-339-3551",
            "fax_number": "319-248-7945",
            "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"
        },
        {
            "address_1": "701 W Forevergreen Rd",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523179848",
            "country_code": "US",
            "telephone_number": "319-356-3375",
            "fax_number": "319-356-3949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Galena",
            "state": "IL",
            "postal_code": "610368118",
            "country_code": "US",
            "telephone_number": "815-777-1340",
            "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": "573-248-5301",
            "fax_number": "573-248-5302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VRDOLJAK",
        "first_name": "JAKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "16881",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "285721",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0053852",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2020036306",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.095623",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "13076C",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD31914",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "IL",
            "license": "036095623",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "VA",
            "license": "0101222180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619976230",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510908600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023794900",
            "state": "DC"
        }
    ],
    "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": [
        {
            "first_name": "VATROSLAV",
            "last_name": "VRDOLJAK",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robin Lanise Vines-Randle
• Visionmd, LLC
• Vitalcare Integrative Health (Altitude Care and Integrative Health)
• Allison Vogel, PT
• Jean-Marc Voyadzis, M.D.
• John Allen Wade
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2799)
• Wal-Mart Stores East, LP (Vision Center 30-2799)
• Walgreen Co (Rite Aid #4533)
• Walgreen Co (Walgreens #10976)

• Radiological Physics Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Radiological Physics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.