JEDIDIAH JOHNSON PA-C
NPI 1689155673
Radiology - Diagnostic Radiology in Mesa, AZ

Active since August 27, 2018PECOS EnrolledAccepts Medicare Assignment
6424 E BROADWAY RD STE 101, MESA, AZ 85206(480) 456-9000 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2019, Sep 17, 2018, Aug 27, 2018 (3 updates tracked since 2018).

About Jedidiah Johnson Pa-c NPPES

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

JEDIDIAH JOHNSON PA-C (NPI 1689155673) is an individual diagnostic radiology provider in Mesa, Arizona, licensed in Arizona (7194) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689155673
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJEDIDIAH JOHNSONCredential: PA-C
Location Address6424 E BROADWAY RD STE 101Mesa, AZ 85206-1750
Mailing Address1201 S Alma School Rd Ste 14000Mesa, AZ 85210-2096
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 27, 2018
Last NPPES UpdateJanuary 30, 20193 updates tracked since enumeration
NPI 1689155673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in AZ · 7194
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedPhysician AssistantTaxonomy 363A00000X
6424 E BROADWAY RD STE 101, Mesa, AZ 85206

Secondary Practice Location 1

Location 11201 S Alma School Rd Ste 14000Mesa, AZ 85210-2096 · Phone (480) 545-9779

Accepted 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

Jedidiah Johnson Pa-c 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 ID5496095705
PECOS Enrollment IDI20190325001129
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.

Areas of Expertise CMS Part B claims 15

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.

Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
192 services142 patients
Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
114 services51 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
44 services42 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
39 services38 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
36 services36 patients
Review by radiologist of ct guidance for needle placement 77012
This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Body Imaging)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206
Radiology (Diagnostic Radiology)
6424 E BROADWAY RD STE 101
MESA, AZ 85206

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 Jedidiah Johnson's NPI number?

The NPI number for Jedidiah Johnson is 1689155673. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Jedidiah Johnson located?

Jedidiah Johnson practices at 6424 E Broadway Rd Ste 101, Mesa, AZ 85206. The listed phone number is (480) 456-9000.

What is Jedidiah Johnson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jedidiah Johnson enrolled in Medicare?

Yes. Jedidiah Johnson 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.

What insurance does Jedidiah Johnson accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Jedidiah Johnson 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 Jedidiah Johnson was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.