JESSICA IVANKA TREIDL M.D.
NPI 1275920373
Radiology - Diagnostic Radiology in Salt Lake City, UT
About Jessica Ivanka Treidl M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA IVANKA TREIDL M.D. (NPI 1275920373) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (9529333-1205) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Carson Tahoe Regional Medical Center, and maintains a secondary practice location in Great Falls.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Ivanka Treidl M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
23Medicare enrollment records show Jessica Treidl reassigns Medicare billing to 23 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Salt Lake City, UT 84113
- Reassigned Medicare billing, Utah enrollment
- 1,729 clinicians in this Medicare group
Tooele, UT 84074
- Reassigned Medicare billing, Utah enrollment
- 98 clinicians in this Medicare group
Boise, ID 83709
- Reassigned Medicare billing, Utah enrollment
- 116 clinicians in this Medicare group
Carson City, NV 89706
- Reassigned Medicare billing, Nevada enrollment
- 157 clinicians in this Medicare group
Carson City, NV 89703
- Reassigned Medicare billing, Nevada enrollment
- 129 clinicians in this Medicare group
Carson City, NV 89703
- Reassigned Medicare billing, Nevada enrollment
- 126 clinicians in this Medicare group
Great Falls, MT 59405
- Reassigned Medicare billing, Utah enrollment
- 4 clinicians in this Medicare group
Yuma, AZ 85364
- Reassigned Medicare billing, Utah enrollment
- Medicare enrollment name: Yuma Cardiology Associates PC
- 2 clinicians in this Medicare group
Newton, NJ 07860
- Reassigned Medicare billing, New Jersey enrollment
- 54 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carson Tahoe Regional Medical Center
Acute Care Hospitals · Carson City, NVUniversity Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SLC, UT 84132
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Treidl's NPI number?
The NPI number for Jessica Treidl is 1275920373. It was assigned to this individual provider in the NPPES registry on April 16, 2015.
Where is Jessica Treidl located?
Jessica Treidl practices at 30 N 1900 E #1a071, Salt Lake City, UT 84132. The listed phone number is (801) 581-7553.
What is Jessica Treidl's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jessica Treidl enrolled in Medicare?
Yes. Jessica Treidl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jessica Treidl's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Treidl reassigns Medicare benefits to 23 organizations: University Of Utah Adult Services (Salt Lake City, UT), Ihc Health Services Inc (Salt Lake City, UT), Tooele Clinic Corp (Tooele, UT), Tellica Imaging, LLC (Boise, ID), Carson Tahoe Physician Clinics (Carson City, NV) and 18 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Treidl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Treidl accept?
Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Montana list Jessica Treidl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jessica Treidl affiliated with any hospitals?
According to CMS data, Jessica Treidl is affiliated with Carson Tahoe Regional Medical Center and University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Jessica Treidl was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jessica Ivanka Treidl, M.D. · NPI 1275920373
Diagnostic Radiology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 16, 2015.
## Identity
- **NPI:** 1275920373 (Entity type: Individual)
- **Enumerated:** April 16, 2015
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 9529333-1205 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 30 N 1900 E, #1A071, Salt Lake City, UT 84132-2140
- **Phone:** (801) 581-7553
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 23 organizations under Medicare reassignment (form CMS-855R): University Of Utah Adult Services (NPI 1447653241, Salt Lake City, UT); Ihc Health Services Inc (NPI 1003255464, Salt Lake City, UT); Tooele Clinic Corp (NPI 1073512364, Tooele, UT); Tellica Imaging, LLC (NPI 1760197198, Boise, ID); Carson Tahoe Physician Clinics (NPI 1023265717, Carson City, NV); and 18 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** January 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275920373) · Data from the CMS NPPES public registry.