Individual provider Active NPI

Joshua Jaramillo, MD

  • Trauma Surgery Physician
  • Provo, UT
National Provider Identifier
1952763047
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
14221142-1205 Issued in UT
Practice address
395 W Cougar Blvd Ste 802
Provo, UT 84604-3311
Phone
(801) 492-2537
NPI assigned
Mar 28, 2016
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Trauma Surgery Physician 2086S0127X 14221142-1205 UT Primary

Addresses

Primary practice location

395 W Cougar Blvd Ste 802
Provo, UT 84604-3311

Mailing address

PO Box 27127
Salt Lake City, UT 84127-0127
Phone (866) 415-6556

Other practice location 1

2200 NE Neff Rd Ste 302
Bend, OR 97701-4279
Phone (541) 706-6915

Other practice location 2

2501 Capehart Rd
Offutt AFB, NE 68113-2160
Phone (402) 294-0285

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally
Direct Messaging Address jjaramillo196058@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, OR, UT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211117002399 NE Practitioner - General Surgery 8022302868 Reassigns benefits to 1 organization
I20240401001361 OR Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 8022302868 Reassigns benefits to 1 organization
I20251001001320 UT Practitioner - General Surgery 8022302868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
Stanford University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

2200 NE Neff Rd
Bend, OR 97701-4283
Phone (541) 382-4321

98 N 1100
Suite 202
American Fork, UT 84003-2941
Phone (801) 492-2565

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 28, 2025 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 28, 2025 Accepting new patients
Unmc Physicians CurrentSince Nov 1, 2021 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
St. Charles Health System, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Council Bluffs Surgical Associates, P.C. CurrentSince May 1, 2022 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients

Locations

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

201 Ridge St
Ste 214
Council Bluffs, IA 51503
Phone (712) 328-2616

29358 Network Pl
Chicago, IL 60673

2500 Bellevue Medical Center Dr
Bellevue, NE 68123
Phone (402) 763-3000

7710 Mercy Rd
Ste 2000
Omaha, NE 68124
Phone (402) 717-0820

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2323

2200 NE Neff Rd
Ste 302
Bend, OR 97701
Phone (541) 706-4220

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

98 N 1100 E
Ste 202
American Fork, UT 84003
Phone (801) 492-2510

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

395 W Cougar Blvd
Ste 802
Provo, UT 84604
Phone (801) 357-8818

1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0b85a188-4e79-4276-b029-bbb0ec6e4802/
  • Direct secure messaging: joshua.jaramillo@direct.nmhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1952763047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27127",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270127",
            "telephone_number": "866-415-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W COUGAR BLVD STE 802",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043311",
            "telephone_number": "801-492-2537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 NE Neff Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977014279",
            "country_code": "US",
            "telephone_number": "541-706-6915",
            "fax_number": "541-706-6733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Capehart Rd",
            "address_purpose": "LOCATION",
            "city": "Offutt AFB",
            "state": "NE",
            "postal_code": "681132160",
            "country_code": "US",
            "telephone_number": "402-294-0285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "UT",
            "license": "14221142-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjaramillo196058@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2200 NE Neff Rd Ste 302",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977014279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.