Individual provider Active NPI

Jeffery L Sparacino, DO

  • Diagnostic Radiology Physician
  • Salina, KS
National Provider Identifier
1740240548
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0524640 Issued in KS
Practice address
119 W Iron Ave
5TH Floor
Salina, KS 67401-2600
Phone
(785) 827-9526
Fax
(785) 827-2854
NPI assigned
Mar 24, 2006
Last updated
Mar 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0524640 KS Primary

Addresses

Primary practice location

119 W Iron Ave
5TH Floor
Salina, KS 67401-2600

Mailing address

PO Box 2327
Salina, KS 67402-2327
Phone (785) 827-9526

Other identifiers 1

IdentifierTypeStateIssuer
100233190AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050106000710 KS Practitioner - Diagnostic Radiology 1658338595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
73.84 of 100Reported as group
Quality
50.5
Promoting interoperability
93
Improvement activities
40
Cost
68.13

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as group
Quality
23.21
Promoting interoperability
89
Improvement activities
40
Cost
78.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0524640KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BTX Koi Inc CurrentSince Apr 1, 2025 Accepting new patients
Biotech X-Ray Inc CurrentSince Nov 1, 2025 Accepting new patients
Advanced General Radiology LLC Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Commonspirit Kansas, Inc. Past Accepting new patients

Locations

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1740240548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2327",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674022327",
            "telephone_number": "785-827-9526",
            "fax_number": "785-827-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W IRON AVE",
            "address_2": "5TH FLOOR",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012600",
            "telephone_number": "785-827-9526",
            "fax_number": "785-827-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARACINO",
        "first_name": "JEFFERY",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0524640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233190A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.