DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.) – Urology Physician, NPI 1073836623

DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.) is a healthcare provider. based in Westlake, Ohio. specializing in UROLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 35.129496 (OH). The NPI Number for DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.) is 1073836623

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.)
NPI
1073836623
Phone
(440) 892-6600
Address
29101 Health Campus Dr Ste 310
Enumeration Date
10 March 2010
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2164421270
Graduation Year
2010 (16 years ago)
PAC ID
8820390826
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20160923000941
Address ID
OH441950001CL9500XAVEX300
Telehealth
Yes

Contacts

Secure Messaging
juanjimenez@upllc.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

568 UROLOGY in OH

Provider Addresses for DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.)

  • 29101 Health Campus Dr Ste 310

    Westlake, OH 441455274

    Phone: (440) 892-6600

    Fax: (440) 892-3482

    Type: Location

  • 5260 Smith Rd

    Brookpark, OH 441421747

    Phone: (216) 941-0333

    Fax: (216) 941-5257

    Type: Location

  • 18099 LORAIN AVE STE 141

    CLEVELAND, OH 441115611

    Phone: (216) 941-0333

    Fax: (216) 941-5257

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $1,721.

Total Amount is formed as General ($1,721) + Research ($0) + Ownership ($0) = $1,721.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($688).

Total Amount

$1,721

General + Research + Ownership

Payments

84

Total payment records

General Amount

$1,721

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-09-23

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
I20160923000941IUrologyOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes344281$0
81003Automated urinalysis test319222$0
99214Established patient office or other outpatient visit, 30-39 minutes10998$0
52000Diagnostic exam of bladder and urethra using an endoscope8984$0
99204New patient office or other outpatient visit, 45-59 minutes6363$0
View full utilization report →

Insurance plans in this area (ZIP 44145)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do I look up DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.) by NPI?
Use NPI 1073836623 when you need to reference DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.) in forms, claims, or directories.
Is DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.) currently active in the NPI registry?
CMS-published data lists DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.) as an active registrant.
Can you summarize DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.)'s specialty in plain language?
Clinically, the directory lists DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.) with Urology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.)'s primary listing?
We display Westlake, Ohio because that is what the record indicates for DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.).
How can I contact DR. JUAN ANTONIO JIMENEZ (M.D., PH.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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