JUAN J JIMENEZ (M.D.) – Diagnostic Ultrasound Physician, NPI 1174548911

JUAN J JIMENEZ (M.D.) is a healthcare provider. based in Urbana, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036106176 (IL). The NPI Number for JUAN J JIMENEZ (M.D.) is 1174548911

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JUAN J JIMENEZ (M.D.)
NPI
1174548911
Phone
(217) 383-6792
Address
611 W. PARK ST.
Enumeration Date
13 July 2006
Last Update Date
26 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183951000
Graduation Year
1996 (30 years ago)
PAC ID
7012054927
Group Practice PAC ID
3870565732
Professional Enrollment ID
I20091027000061
Address ID
IL624502576OL900XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

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Provider Addresses for JUAN J JIMENEZ (M.D.)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 618012500

    Phone: (217) 383-6792

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $532.

Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Stryker Corporation ($512).

Total Amount

$532

General + Research + Ownership

Payments

7

Total payment records

General Amount

$532

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091027000061IDiagnostic RadiologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,44018$0
71045X-ray of chest, 1 view903753$0
71046X-ray of chest, 2 views383363$0
71250Ct scan of chest without contrast306298$0
74018X-ray of abdomen, 1 view303260$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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Provider's Procedures

JUAN J JIMENEZ (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71250CT scan chest1616
DIAGNOSTIC RADIOLOGYIL73110X-ray of wrist, minimum of 3 views1716
DIAGNOSTIC RADIOLOGYIL73630X-ray of foot, minimum of 3 views3333
DIAGNOSTIC RADIOLOGYIL74177CT scan of abdomen and pelvis with contrast1414
DIAGNOSTIC RADIOLOGYIL78815Nuclear medicine study with CT imaging skull base to mid-thigh4545

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870565732View full group profile
NameSpecialtyState
Diagnostic RadiologyNY
Vascular Surgery, General SurgeryIL
Physician AssistantIL
-IL
-IL
Hospice/Palliative Care, Internal MedicineIL
Cardiovascular Disease (Cardiology)IL
E N D O C R I N O L O G YIL
Diagnostic RadiologyIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I verify JUAN J JIMENEZ (M.D.) with an NPI only?
You can start verification with NPI 1174548911 for JUAN J JIMENEZ (M.D.), then check state licensing separately.
Is JUAN J JIMENEZ (M.D.) listed as active for patients and plans?
The listing shows JUAN J JIMENEZ (M.D.) as active in the NPI system.
What is JUAN J JIMENEZ (M.D.)'s specialty?
The listing groups JUAN J JIMENEZ (M.D.) with Diagnostic Ultrasound Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JUAN J JIMENEZ (M.D.) on a map?
Expect Urbana, Illinois as a primary anchor for JUAN J JIMENEZ (M.D.) unless the record lists multiple sites.
Why does JUAN J JIMENEZ (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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