Jeremiah A Jansen, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C175919 Issued in CA

Practice address

3330 NW 56TH
Suite 206
Okla City, OK 73112-4426

Phone

(405) 945-4710

Fax

(405) 562-9242

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK, NJ, HI, CA, AR, TX, IL, PA, NE, NV, OH, TN12 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 12

Specialty

Diagnostic Radiology

Education

University of Nebraska College of Medicine, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Rockford Radiology AssocGroup PAC ID 1254330749, 43 clinicians

St Jude Radiology Medical Group IncGroup PAC ID 7214838002, 61 clinicians

Radiology Associates of Wichita Falls PAGroup PAC ID 7911007851, 54 clinicians

Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians

Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Placerville Radiology Medical Group IncGroup PAC ID 0143382374, 62 clinicians

Modesto Radiological Medical Group IncGroup PAC ID 2062300239, 95 clinicians

Fullerton Radiology Medical Group IncGroup PAC ID 4587632575, 55 clinicians

Radx Imaging Partners IncGroup PAC ID 5698113041, 46 clinicians

Washington Radiologists Medical Group IncGroup PAC ID 6305927245, 66 clinicians

Universal Radiology Partners of California PCGroup PAC ID 7214372986, 67 clinicians

San Antonio Radiological MedicalGroup PAC ID 8325035942, 54 clinicians

Central Valley Imaging Medical Associates IncGroup PAC ID 8628064953, 87 clinicians

Oklahoma Radiology Group P CGroup PAC ID 9032101688, 59 clinicians

Kennewick Radiology Group PCGroup PAC ID 9335230549, 34 clinicians

Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

NRHS Radiology AssociatesGroup PAC ID 2668555731, 61 clinicians

X-Ray Associates of Louisville PSCGroup PAC ID 9436146818, 55 clinicians

Lompoc Valley Medical CenterGroup PAC ID 9739275595, 90 clinicians

Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians

County of MontereyGroup PAC ID 2466345632, 186 clinicians

Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Insight Chicago IncGroup PAC ID 2860894706, 140 clinicians

Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians

Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Contemporary Diagnostic Imaging LLCGroup PAC ID 1850510470, 40 clinicians

Universal Radiology Partners of NevadaGroup PAC ID 5799295259, 71 clinicians

Waianae District Comprehensive Health and Hospital Board IncorporatedGroup PAC ID 9931008349, 162 clinicians

Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696
• Temple Health - Chestnut Hill Hospital Hospital, Philadelphia, PA, CCN 390026
• Washington Hospital Hospital, Fremont, CA, CCN 050195
• Trios Health Hospital, Kennewick, WA, CCN 500053
• Northeastern Health System Hospital, Tahlequah, OK, CCN 370089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 71)

Locations (25 of 99)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jeremiah.jansen.p1@direct.wcchc.nextgenshare.com
• Direct secure messaging: jeremiah.jansen@direct.mrhcok.com
• Direct secure messaging: jjansen151490@direct.whhs.com

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.

• Northeastern Health System

  • Emergency Medicine Physician
  • Tahlequah, OK
  • NPI 1457574170
  Medicare reassignment Care Compare group NPD
• Oklahoma Radiology Group P C

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
  • NPI 1841283165

  NE

  Medicare reassignment Care Compare group NPD
• Arkansas Health Group

  • Diagnostic Radiology Physician
  • Little Rock, AR
  • NPI 1861216327
  Medicare reassignment Care Compare group NPD
• Capital Health Multispecialty Group

  • Surgery Physician
  • Trenton, NJ
  • NPI 1083072342

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Central Valley Imaging Medical Associates, Inc

  • Diagnostic Radiology Physician
  • Manteca, CA
  • NPI 1275523169

  NE, OK

  Medicare reassignment Care Compare group NPD
• Contemporary Diagnostic Imaging, LLC

  • Specialist
  • Belleville, NJ
  • NPI 1306267927
  Medicare reassignment Care Compare group NPD
• County of Monterey

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1205863255
  Medicare reassignment Care Compare group NPD
• Fullerton Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1861451858

  NE, OK

  Medicare reassignment Care Compare group NPD
• Hawaii Permanente Medical Group Inc

  • Health Maintenance Organization
  • Honolulu, HI
  • NPI 1710945969
  Medicare reassignment Care Compare group NPD
• Insight Chicago, Inc.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1881261006
  Medicare reassignment Care Compare group NPD
• Inspira Health Network Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1922177856
  Medicare reassignment Care Compare group NPD
• Kennewick Radiology Group PC

  • Diagnostic Radiology Physician
  • Kennewick, WA
  • NPI 1679783534

  NE, OK

  Medicare reassignment Care Compare group NPD

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

• Northeastern Health System

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1003865999
  Care Compare affiliation
• Northeastern Health System

  • Rural Health Clinic/Center
  • Fort Gibson, OK
  • NPI 1013458652

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Rural Health Clinic/Center
  • Tahlequah, OK
  • NPI 1306387949

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Addiction (Substance Use Disorder) Counselor
  • Tahlequah, OK
  • NPI 1689338519

  Hospital

  Care Compare affiliation
• CHH Community Health

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1437865953
  Care Compare affiliation
• Keck Medical Center of Usc

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1013514199
  Care Compare affiliation
• RCCH Trios Health LLC

  • General Acute Care Hospital
  • Kennewick, WA
  • NPI 1578058137
  Care Compare affiliation
• Washington Township Hospital District

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1780703900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-933-1550",
            "fax_number": "562-933-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH",
            "address_2": "SUITE 206",
            "city": "OKLA CITY",
            "state": "OK",
            "postal_code": "731124426",
            "telephone_number": "405-945-4710",
            "fax_number": "405-562-9242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Marshall Way",
            "address_purpose": "LOCATION",
            "city": "Placerville",
            "state": "CA",
            "postal_code": "956676533",
            "country_code": "US",
            "telephone_number": "530-626-2613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731093413",
            "country_code": "US",
            "telephone_number": "405-636-7362",
            "fax_number": "405-636-7861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Salem Woodstown Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792064",
            "country_code": "US",
            "telephone_number": "856-339-6054",
            "fax_number": "856-935-6714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90806",
            "country_code": "US",
            "telephone_number": "562-933-1550",
            "fax_number": "562-933-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "JEREMIAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C175919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000292930A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00964011",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lori Eldean Hansen, MD
• Robin D Henderson, DMD
• William Edward Holcomb, DDS
• Glen Conrad Hornbuckle, DDS MS FACD
• Chris A Hunt, DDS, MS
• Meridian Foot Clinic Inc
• Chris Alan Poore, DDS, MS
• Chad Michael Smith, MD
• William P Truels MD Inc
• Larry L Winnard, ATC

• Diagnostic Radiology Physician in Okla City, OK
• Providers in Okla City, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.