Individual provider Active NPI

Barbara Jaeger, MD

  • Diagnostic Radiology Physician
  • Tallahassee, FL
National Provider Identifier
1942248778
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME110774 Issued in FL
Practice address
1600 Phillips Rd
Radiology Dept
Tallahassee, FL 32308-5304
Phone
(850) 878-4127
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X D54487 MD
Diagnostic Ultrasound Physician 2085U0001X D54487 MD
Diagnostic Radiology Physician 2085R0202X ME110774 FL Primary

Addresses

Primary practice location

1600 Phillips Rd
Radiology Dept
Tallahassee, FL 32308-5304

Mailing address

PO Box 1678
Tallahassee, FL 32302-1678
Phone (844) 821-8137

Other identifiers 5

IdentifierTypeStateIssuer
004388300MedicaidFL
S187 / 0020OtherMDBLUECHOICE
14H59OtherFLBCBS OF FL
KDA7 / 697567-06OtherMDBC /BS OF MD
412400600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 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
I20120130000278 FL Practitioner - Diagnostic Radiology 4082698659 Reassigns benefits to 4 organizations
I20230123000526 CO Practitioner - Diagnostic Radiology 4082698659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Imaging CenterGroup PAC ID 3274515697, 3 clinicians

Practice addresses (Care Compare)

3773 Cherry Creek N Dr
Suite 101
Denver, CO 80209-3821
Phone (303) 321-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME110774FLMDDiagnostic Radiology Physician
D54487MDMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince Mar 15, 2022 Accepting new patients
Womens Imaging Center CurrentSince Jan 26, 2023 Accepting new patients
Florida Department of Children and Families CurrentSince Apr 10, 2021 Accepting new patients
Florida Department of Children and Families Current Accepting new patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince Jul 15, 2015 Accepting new patients
Florida Department of Children and Families CurrentSince Apr 10, 2021 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince Jul 15, 2015 Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients

Locations

3773 E Cherry Creek North Dr
Ste 101
Denver, CO 80209
Phone (303) 321-2273

1265 Sgt Jon Stiles Dr
Unit H
Highlands Ranch, CO 80129
Phone 3033212273260

100 N Main St
Bldg 1028
Chattahoochee, FL 32324
Phone (904) 330-2215

100 N Main St
Chattahoochee, FL 32324
Phone (850) 663-7001

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

1400 Village Square Blvd
#3169
Tallahassee, FL 32312

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23872/brand/5/csg/61/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1942248778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323021678",
            "telephone_number": "844-821-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PHILLIPS RD",
            "address_2": "RADIOLOGY DEPT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085304",
            "telephone_number": "850-878-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "BARBARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "MD",
            "license": "D54487",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MD",
            "license": "D54487",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME110774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004388300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "S187 / 0020",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "14H59",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC /BS OF MD",
            "identifier": "KDA7 / 697567-06",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412400600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.