Individual provider Active NPI

Jarrod Alan Yates, D.O.

  • Diagnostic Radiology Physician
  • Cedar Rapids, IA
National Provider Identifier
1801005996
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
04652 Issued in IA
Practice address
1948 1St Ave NE
Cedar Rapids, IA 52402-5321
Phone
(319) 364-0121
Fax
(319) 364-5684
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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 04652 IA Primary

Addresses

Primary practice location

1948 1St Ave NE
Cedar Rapids, IA 52402-5321

Mailing address

1948 1St Ave NE
Cedar Rapids, IA 52402-5321
Phone (319) 364-0121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20150130000652 IA Practitioner - Diagnostic Radiology 1355529140 Reassigns benefits to 3 organizations
I20260430001916 OH Practitioner - Diagnostic Radiology 1355529140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Midwestern University, Chicago College of Osteopathic Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians
Lucidsolutions IncGroup PAC ID 0749603462, 84 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681

3815 Locust Ridge Rd NE
North Liberty, IA 52317-9382
Phone (614) 340-7740

Hospital & facility affiliations

  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
  • Sartori Memorial Hospital, Inc Hospital, Cedar Falls, IA, CCN 160040
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04652IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Partners, P.a. CurrentSince May 1, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Mar 5, 2023 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Silver Pine Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

200 E Ridgeway Ave
Waterloo, IA 50702
Phone (319) 272-2070

489 State St
Bangor, ME 04401
Phone (207) 973-8837

Interoperability endpoints

  • Direct secure messaging: jyates228942@direct.unitypoint.org

Organizations & group practices 8

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.

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1801005996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025321",
            "telephone_number": "319-364-0121",
            "fax_number": "319-364-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025321",
            "telephone_number": "319-364-0121",
            "fax_number": "319-364-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "JARROD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "04652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.