Jonathan Im, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

61540835 Issued in WA

Practice address

1959 NE Pacific St # Nw011
Seattle, WA 98195-4089

Phone

(206) 598-5130

NPI assigned

May 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, WA2 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

Specialty

Diagnostic Radiology

Education

Michigan State University College of Human Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Harris Birkhill Wang Songe and Assoc PCGroup PAC ID 3779495338, 63 clinicians

Novello Imaging PLCGroup PAC ID 3476968686, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
• Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
• Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
• Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
• Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142

Merit-based Incentive Payment System (MIPS)

Final score

53.55 of 100Reported as group

Quality

30

Improvement activities

40

Cost

57.47

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jim1022227@direct.hfhs.org

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.

• DRS Harris Birkhill Wang Songe & Assoc PC

  • Diagnostic Radiology Physician
  • Dearborn, MI
  • NPI 1679529978

  WA

  Medicare reassignment Care Compare group NPD
• Novello Imaging PLC

  • Radiology Clinic/Center
  • Traverse City, MI
  • NPI 1265030068

  WA

  Medicare reassignment Care Compare group NPD
• Proscan Imaging Southfield PLLC

  • Diagnostic Radiology Physician
  • Southfield, MI
  • NPI 1023572831

  WA

  Medicare reassignment NPD
• The Imaging Center PC

  • Diagnostic Radiology Physician
  • Grand Rapids, MI
  • NPI 1164224184
  NPD
• The Imaging Center PC

  • Radiology Clinic/Center
  • Grand Rapids, MI
  • NPI 1356223879
  NPD
• Amd Southfield Michigan - Limited Partnership

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Southfield, MI
  • NPI 1962458927
  NPD (past)
• Dr Richard Burke Pain and Neuromodulation PLLC

  • Interventional Pain Medicine Physician
  • Traverse City, MI
  • NPI 1578246526
  NPD (past)
• Oakwood Healthcare Inc

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)

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

• Henry Ford Wyandotte Hospital

  • Ambulatory Surgical Clinic/Center
  • Wyandotte, MI
  • NPI 1093901035

  Hospital

  Care Compare affiliation
• Henry Ford Wyandotte Hospital

  • General Acute Care Hospital
  • Wyandotte, MI
  • NPI 1992725352
  Care Compare affiliation
• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Wayne, MI
  • NPI 1295785285
  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Taylor, MI
  • NPI 1487605168
  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Trenton, MI
  • NPI 1740230648
  Care Compare affiliation

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1689231250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC STREET NW011 BOX : 357233",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981954089",
            "telephone_number": "206-598-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST # NW011",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981954089",
            "telephone_number": "206-598-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242319",
            "country_code": "US",
            "telephone_number": "313-359-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IM",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "61540835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryann M Illan, CG60906357
• Kimberly Ann Iller, N.D., L.AC
• Gabriella Illi
• Lisa L Illich, MS
• Deborah Im
• Kellen Takeshi Imada
• Melvin M Imadhay
• Ammie Imae
• Imahn Moin, DDS, PLLC
• Kimia Imani

• Neuroradiology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Neuroradiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.