R MARVIN JABOLA MD
NPI 1952342883
Radiology - Diagnostic Radiology in Modesto, CA

Q: What is R Jabola's NPI number?

The NPI number for R Jabola is 1952342883. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Q: What is R Jabola's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for R Jabola was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 10, 2006PECOS Enrolled

600 COFFEE RD, MODESTO, CA 95355(209) 524-1211 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About R Marvin Jabola Md NPPES

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

R MARVIN JABOLA MD (NPI 1952342883) is an individual diagnostic radiology provider in Modesto, California, licensed in California (G60059) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952342883

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameR MARVIN JABOLACredential: MD

Location Address600 COFFEE RDModesto, CA 95355-4201

Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 524-1211

Phone(209) 524-1211

Sole ProprietorNo

Enumeration DateJune 10, 2006

Last NPPES UpdateAugust 17, 2010

✔ NPI 1952342883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · G60059

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License G60059 (CA)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License G60059 (CA)

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License G60059 (CA)

600 COFFEE RD, Modesto, CA 95355

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Other Identifiers 3

Medicare UPIND38247CA

Medicaid00G600590CA

Medicare PINAM370ZCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

R Marvin Jabola Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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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.

RADHA CHIRUMAMILLA M.D.

Hospitalist