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AMANDA ROTH JIMENEZ D.O.
NPI 1710116082
Internal Medicine - Critical Care Medicine in Raleigh, NC

Active since July 08, 2009PECOS EnrolledAccepts Medicare Assignment
4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-3100 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Roth Jimenez D.o. NPPES

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

AMANDA ROTH JIMENEZ D.O. (NPI 1710116082) is an individual critical care medicine provider in Raleigh, North Carolina, licensed in North Carolina (2015-01013) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1710116082
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameAMANDA ROTH JIMENEZCredential: D.O.
Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505
Mailing Address41 Mall RdBurlington, MA 01805-0002 · (781) 744-5700 · Fax (781) 744-5358
Phone(919) 784-3100
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2009
Enumeration DateJuly 8, 2009
Last NPPES UpdateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
✔ NPI 1710116082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in NC · 2015-01013
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedHospitalistTaxonomy 208M00000X · License 253468 (MA)
4420 LAKE BOONE TRL, Raleigh, NC 27607
Open in Google Maps ↗

Secondary Practice Location 1

Location 141 Mall RdBurlington, MA 01805-0002 · Phone (781) 744-5700 · Fax (781) 744-5358

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Amanda Roth Jimenez D.o. 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 ID7911138680
PECOS Enrollment IDI20150928000366
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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
81 services80 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

NADER CYRUS EMAMI-KELISHADI PA
Physician Assistant
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (703) 585-0860
ERIC LINTON
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOSHUA DAVID FISHER FNP
Nurse Practitioner (Family)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
MALLORY WOLTERING RN
Registered Nurse (Critical Care Medicine)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOHN O COLLINS M.D.
Psychiatry & Neurology (Neurology)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-7093
ERIN D RUSINEK PA-C
Physician Assistant
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818
DONNA RANSOM CRNA
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3034
JOELLEN C SPECA M.D.
Internal Medicine (Hematology & Oncology)
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818

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 Amanda Jimenez's NPI number?

The NPI number for Amanda Jimenez is 1710116082. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Amanda Jimenez located?

Amanda Jimenez practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3100.

What is Amanda Jimenez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Amanda Jimenez enrolled in Medicare?

Yes. Amanda Jimenez 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 Amanda Jimenez accept?

Health plans from Blue Cross and Blue Shield of NC list Amanda Jimenez 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 Amanda Jimenez affiliated with any hospitals?

According to CMS data, Amanda Jimenez is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Jimenez was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.