JOSE MANUEL JIMENEZ VEGA M.D.
NPI 1619208980
Pediatrics - Pediatric Endocrinology in Woodbury, MN

Active since January 26, 2010PECOS Enrolled
81.72/100
CMS Quality Rating
9680 TAMARACK RD STE 130, WOODBURY, MN 55125(651) 265-7575(651) 265-7580 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2024, Jan 3, 2024, Jan 3, 2022 and 6 more (9 updates tracked since 2016).

About Jose Manuel Jimenez Vega M.d. NPPES

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

JOSE MANUEL JIMENEZ VEGA M.D. (NPI 1619208980) is an individual pediatric endocrinology provider in Woodbury, Minnesota, licensed in Minnesota (70530) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1619208980
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameJOSE MANUEL JIMENEZ VEGACredential: M.D.
Location Address9680 TAMARACK RD STE 130Woodbury, MN 55125-2623
Mailing Address9680 Tamarack Rd Ste 130Woodbury, MN 55125-2623
Fax(651) 265-7580
Sole ProprietorNo
Enumeration DateJanuary 26, 2010
Last NPPES UpdateNovember 4, 20249 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1619208980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Licenses✔ Licensed in MN · 70530✔ Licensed in MI · 4301108745
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedPediatricsTaxonomy 208000000X · License 70530 (MN)
9680 TAMARACK RD STE 130, Woodbury, MN 55125

Secondary Practice Location 1

Location 135 Michigan St NE, Suite 1800Grand Rapids, MI 49503-2514 · Phone (616) 391-3933

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Manuel Jimenez Vega M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Jose Jimenez Vega reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Rehabilitation Medicine
9680 TAMARACK RD, SUITE 130
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Clinic/Center
1414 MARYLAND AVE E
Saint Paul, MN 55106
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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.

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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 5

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

Physical Therapist
9680 TAMARACK RD STE 130
WOODBURY, MN 55125
Dietitian, Registered
9680 TAMARACK RD STE 130
WOODBURY, MN 55125
Occupational Therapist
9680 TAMARACK RD STE 130
WOODBURY, MN 55125
Dietitian, Registered
9680 TAMARACK RD STE 130
WOODBURY, MN 55125
Nurse Practitioner (Pediatrics)
9680 TAMARACK RD STE 130
WOODBURY, MN 55125

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 Jose Jimenez Vega's NPI number?

The NPI number for Jose Jimenez Vega is 1619208980. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Where is Jose Jimenez Vega located?

Jose Jimenez Vega practices at 9680 Tamarack Rd Ste 130, Woodbury, MN 55125. The listed phone number is (651) 265-7575.

What is Jose Jimenez Vega's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Jose Jimenez Vega enrolled in Medicare?

Yes. Jose Jimenez Vega is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jose Jimenez Vega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Jimenez Vega reassigns Medicare benefits to 5 organizations: Fairview Express Care (Woodbury, MN), Fairview Clinics (Saint Paul, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN) and Fairview Health Services (Minneapolis, 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 Jose Jimenez Vega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Jimenez Vega accept?

Health plans from Sanford Health Plan list Jose Jimenez Vega 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.

When was this NPI record last updated?

The NPPES record for Jose Jimenez Vega was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.