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DR. JAKE S JASURDA
NPI 1578096350
Internal Medicine - Gastroenterology in Lakeville, MN

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
18465 ORCHARD TRL STE 320, LAKEVILLE, MN 55044(612) 871-1145(612) 870-5491 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2024, May 12, 2021, Apr 10, 2017 (3 updates tracked since 2017).

About Dr. Jake S Jasurda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAKE S JASURDA (NPI 1578096350) is an individual gastroenterology provider in Lakeville, Minnesota, licensed in Illinois (156183) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2017).

NPPES Registry Identity

NPI1578096350
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JAKE S JASURDA
Location Address18465 ORCHARD TRL STE 320Lakeville, MN 55044-2522
Mailing AddressPo Box 14909Minneapolis, MN 55414-0909 · (612) 871-1145 · Fax (612) 870-5491
Phone(612) 871-1145
Fax(612) 870-5491
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1578096350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 156183
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
18465 ORCHARD TRL STE 320, Lakeville, MN 55044
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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

Dr. Jake S Jasurda 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.

PECOS PAC ID6305194937
PECOS Enrollment IDI20241029000159
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jake Jasurda reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Health Services
4.7 mi
General Acute Care Hospital
201 E NICOLLET BLVD, OUTREACH LAB DEPARTMENT
Burnsville, MN 55337
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1225199128 (952) 892-2085
Healtheast St. John's Hospital
20 mi
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
NPI 1558240853 (855) 324-7843
Mngi Digestive Health, P.A.
22 mi
Gastroenterology
3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Mngi Digestive Health PA
  • 322 clinicians in this Medicare group
NPI 1609804541 (612) 871-1145
Healtheast Woodwinds Hospital
23 mi
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group
NPI 1356309322 (651) 232-0100

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 2

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
41 services19 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAIGE AVERY FLICEK
Nurse Practitioner
18465 ORCHARD TRL STE 320
LAKEVILLE, MN 55044
Dakota County (612) 871-1145
ANEESA SIDDIQUI PA-C
Physician Assistant
18465 ORCHARD TRL STE 320
LAKEVILLE, MN 55044
Dakota County (612) 871-1145
SYDNEY ANN UNGAR PA-C
Physician Assistant (Medical)
18465 ORCHARD TRL STE 320
LAKEVILLE, MN 55044
Dakota County (612) 871-1145
DR. MICHAEL BRANDT KALINOWSKI D.O.
Internal Medicine (Gastroenterology)
18465 ORCHARD TRL STE 320
LAKEVILLE, MN 55044
Dakota County (612) 871-1145
CLAIRE PETRIE
Physician Assistant
18465 ORCHARD TRL STE 320
LAKEVILLE, MN 55044
Dakota County (612) 871-1145
GREGORY CHARLES DEAN MD
Internal Medicine (Gastroenterology)
18465 ORCHARD TRL STE 320
LAKEVILLE, MN 55044
Dakota County (612) 871-1145

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 Jake Jasurda's NPI number?

The NPI number for Jake Jasurda is 1578096350. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Jake Jasurda located?

Jake Jasurda practices at 18465 Orchard Trl Ste 320, Lakeville, MN 55044. The listed phone number is (612) 871-1145.

What is Jake Jasurda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jake Jasurda enrolled in Medicare?

Yes. Jake Jasurda 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 Jake Jasurda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Jasurda reassigns Medicare benefits to 4 organizations: Fairview Health Services (Burnsville, MN), Healtheast St. John's Hospital (Saint Paul, MN), Mngi Digestive Health, P.A. (Minneapolis, MN) and Healtheast Woodwinds Hospital (Woodbury, MN). 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 Jake Jasurda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jake Jasurda affiliated with any hospitals?

According to CMS data, Jake Jasurda is affiliated with Abbott Northwestern Hospital, M Health Fairview Southdale Hospital and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Jake Jasurda was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.