Individual provider Active NPI

Jarret Kuo, MD

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1720228778
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME120107 Issued in FL
Practice address
17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone
(833) 228-6889
Fax
(877) 853-0376
NPI assigned
Mar 4, 2009
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME120107 FL Primary
Diagnostic Radiology Physician 2085R0202X MC-180 GU
Diagnostic Radiology Physician 2085R0202X 60111 WI
Diagnostic Radiology Physician 2085R0202X C170637 CA
Diagnostic Radiology Physician 2085R0202X 16520 ND
Diagnostic Radiology Physician 2085R0202X 12822C WY
Vascular & Interventional Radiology Physician 2085R0204X ME120107 FL

Addresses

Primary practice location

17310 Wright St Ste 103
Omaha, NE 68130-2405

Mailing address

17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone (833) 228-6889

Other practice location 1

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551

Other practice location 2

1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000

Other practice location 3

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000

Other practice location 4

701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 356-3375

Other practice location 5

6000 State Farm Dr Ste 150
Rohnert Park, CA 94928-2226
Phone (707) 576-4392

Other identifiers 1

IdentifierTypeStateIssuer
'012191900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL, WA, TX, AZ, CA, MN, TN, IA, ND, WY, IL, AR, MO, SC, CT, SD, NC, NM, NE, MA21 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 21

Enrollment IDStateProvider typePAC IDDetails
I20130315000261 WI Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 2 organizations
I20140718002076 FL Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 1 organization
I20180115000655 WA Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 20 organizations
I20191125001132 TX Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 3 organizations
I20191206000749 AZ Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 1 organization
I20200828002601 CA Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 20 organizations
I20200910000612 MN Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 1 organization
I20210107001189 TN Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 1 organization
I20210526000171 IA Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 3 organizations
I20220209001667 ND Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 1 organization
I20221014001579 WY Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 2 organizations
I20221216002425 IL Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 2 organizations
I20230209001346 AR Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 1 organization
I20230223000253 MO Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 1 organization
I20240425000392 SC Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 2 organizations
I20240516000190 CT Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 1 organization
I20240702002812 SD Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 2 organizations
I20250218003716 NC Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 3 organizations
I20250721002927 NM Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 2 organizations
I20251125002649 NE Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 1 organization
I20260625002309 MA Practitioner - Diagnostic Radiology 0446495626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Diagnostic Radiology of Anderson PAGroup PAC ID 3173559945, 43 clinicians
Trinity HealthGroup PAC ID 7911816020, 292 clinicians
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians
Lima Radiological AssociatesGroup PAC ID 9931003977, 50 clinicians
Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians
East Georgia Radiology LLCGroup PAC ID 7315040698, 44 clinicians
Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians
Central Kentucky Radiology PLLCGroup PAC ID 8921906983, 54 clinicians
Regional West Medical CenterGroup PAC ID 1759285885, 66 clinicians
Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians
Great Plains Radiology LLCGroup PAC ID 2062310899, 39 clinicians
Lincoln Radiology Group P CGroup PAC ID 7113902586, 47 clinicians
Cheyenne Radiology GroupGroup PAC ID 1951293844, 34 clinicians
Mahaska County HospitalGroup PAC ID 2769388677, 128 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians
Radiology Consultants of Iowa PLCGroup PAC ID 3577467851, 73 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Radiologic Medical Services PCGroup PAC ID 3577451491, 29 clinicians
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians
Associated Radiologists LTDGroup PAC ID 8123009941, 38 clinicians
Radiology Consultants LTDGroup PAC ID 9032195128, 35 clinicians
Camelot Radiology Associates LTDGroup PAC ID 4880580521, 24 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (864) 226-0511

1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6000

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

10654 Breckenridge Dr
San Diego, CA 92131-6114
Phone (419) 226-9023

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

12520 SE 42ND St
Bellevue, WA 98006-1925
Phone (469) 757-1042

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

1600 S 48TH St
Lincoln, NE 68506-1227
Phone (402) 489-9400

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

2085 Calle Francesca
San Dimas, CA 91773-4463
Phone (307) 634-7711

25887 Crown Valley Pkwy
Laguna Niguel, CA 92677-1559
Phone (641) 672-3315

25887 Crown Valley Pkwy
Unit 2326
Laguna Niguel, CA 92677-1583
Phone (815) 599-6000

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5000

331 Cascade St
Leavenworth, WA 98826-1103
Phone (319) 364-0121

33631 Paseo Eternidad
San Juan Capistrano, CA 92675-8514
Phone (605) 322-4878

37868 US Hwy 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000

4155 129TH PL SE
Bellevue, WA 98006-5862
Phone (813) 895-2425

4155 129TH PL SE
Apt A101
Bellevue, WA 98006-7306
Phone (815) 397-5554

420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364

5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C170637CAMDDiagnostic Radiology Physician
12822CWYMDDiagnostic Radiology Physician

Practice roles (60 of 99)

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Family Medicine CurrentSince Sep 15, 2025 Accepting new patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince May 6, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 8, 2024 Accepting new patients
East Georgia Radiology LLC Diagnostic Radiology CurrentSince Feb 4, 2025 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Cheyenne Radiology Group CurrentSince Apr 1, 2022 Accepting new patients
Radiologic Medical Services PC Diagnostic Radiology CurrentSince Aug 2, 2023 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Hansford County Hospital District CurrentSince Feb 26, 2026 Accepting new patients
Avera McKennan Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Trinity Health CurrentSince Feb 1, 2022 Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Jan 8, 2025 Accepting new patients
Sgoh Acquisition Inc CurrentSince Jan 1, 2023 Accepting new patients
Gibson Community Hospital Association CurrentSince Dec 1, 2022 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Nov 5, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 8, 2024 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Memorial Hospital of Sheridan County Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jun 7, 2025 Accepting new patients
The Duluth Clinic LTD CurrentSince Aug 28, 2020 Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince May 10, 2021 Accepting new patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Primrose Nephrology, Inc. Current Accepting new patients
X-Ray Associates of New Mexico PC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Jul 1, 2025 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Aug 28, 2020 Accepting new patients
Gibson Community Hospital Association CurrentSince Dec 1, 2022 Accepting new patients
Hegg Memorial Hospital CurrentSince May 1, 2021 Accepting new patients
Chickasaw Nation Division of Health Current Accepting new patients
Columbus Regional Healthcare System CurrentSince Jan 1, 2025 Accepting new patients
Lincoln Radiology Group P C Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Radiology Consultants, LTD. Diagnostic Radiology CurrentSince Jun 21, 2024 Accepting new patients
Florida Keys Radiology Associates LLP Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Aug 31, 2024 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Sep 18, 2023 Accepting new patients
Allen Memorial Hospital Corporation Diagnostic Radiology CurrentSince Mar 3, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 1, 2019 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 27, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jan 1, 2025 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Aug 20, 2023 Accepting new patients
Mahaska County Hospital Family Medicine CurrentSince Jan 3, 2024 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Oct 3, 2020 Accepting new patients
Freeport Memorial Hospital CurrentSince May 6, 2024 Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
State University of Iowa Family Medicine CurrentSince Jun 15, 2024 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Jun 5, 2019 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Oct 1, 2022 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Lima Radiological Associates Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Aug 31, 2024 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Jun 5, 2019 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Baptist Physician Network CurrentSince Jun 1, 2021 Accepting new patients
Sgoh Acquisition Inc CurrentSince Jan 1, 2023 Accepting new patients
Madison Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Jul 1, 2020 Accepting new patients

Locations (25 of 99)

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

9900 Talbert Ave
Ste 102
Fountain Valley, CA 92708
Phone (714) 378-7000

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

6000 State Farm Dr
Ste 150
Rohnert Park, CA 94928
Phone (707) 559-7600

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jkuo2988617@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 106

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.

View all 106

Hospital & facility affiliations 9

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": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1720228778",
    "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": "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": "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": "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": "701 W Forevergreen Rd",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523179848",
            "country_code": "US",
            "telephone_number": "319-356-3375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 State Farm Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282226",
            "country_code": "US",
            "telephone_number": "707-576-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUO",
        "first_name": "JARRET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-04",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME120107",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "MC-180",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "60111",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C170637",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "16520",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "12822C",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME120107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "'012191900",
            "state": "FL"
        }
    ],
    "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": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.