DR. JEREMY A IDJADI MD
NPI 1578659264
Orthopaedic Surgery in Port Townsend, WA

Q: What is Jeremy Idjadi's NPI number?

The NPI number for Jeremy Idjadi is 1578659264. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Jeremy Idjadi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Idjadi was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment

834 SHERIDAN ST, PORT TOWNSEND, WA 98368(360) 344-0400(360) 344-0418 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2021, May 10, 2021, Apr 28, 2021 (3 updates tracked since 2021).

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About Dr. Jeremy A Idjadi Md NPPES

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

DR. JEREMY A IDJADI MD (NPI 1578659264) is an individual orthopaedic surgery provider in Port Townsend, Washington, licensed in Washington (MD00046591) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Olympic Medical Center, and is a graduate of New York University School Of Medicine (2000).

NPPES Registry Identity

NPI1578659264

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JEREMY A IDJADICredential: MD

Location Address834 SHERIDAN STPort Townsend, WA 98368-2443

Mailing Address834 Sheridan StPort Townsend, WA 98368-2443 · (360) 385-2200 · Fax (360) 344-0418

Phone(360) 344-0400

Fax(360) 344-0418

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 2000

Enumeration DateOctober 4, 2006

Last NPPES UpdateJune 8, 20213 updates tracked since enumeration

NPPES CertifiedJune 8, 2021

✔ NPI 1578659264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WA · MD00046591

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License MD00046591 (WA)

834 SHERIDAN ST, Port Townsend, WA 98368

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Other Identifiers 4

OtherG8862908WA · Medicare Posm

Other0213802WA · L & I

OtherG8891350WA · Medicare Emri

OtherP00669277WA · Medicare Rr King Co.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeremy A Idjadi Md 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 ID8527068709

PECOS Enrollment IDI20070111000683

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.

Hospital Affiliations CMS Care Compare 2

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

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number500072

Location939 Caroline StPort Angeles, WA 98362 · Clallam County

Emergency services Birthing friendly

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501323

Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98368 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

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 20

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

DANIEL W WALKOWSKI PA-C

Physician Assistant (Medical)