Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse R Amezaga, MD

Individual provider Diagnostic Radiology Physician · NPI 1386683209

Jesse R Amezaga, MD is a Diagnostic Radiology in Grand Rapids, Michigan. Qualified in 2001, 25 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana, Michigan and Virginia.

Years since qualifying
25
Licensed in
IN, MI, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 363-7272
Fax: (616) 361-5828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5165 McCarty Ln, Lafayette, IN 47905-8764 — (765) 448-8000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301078261 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101278889 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01093995A (IN)

Record details

NPI number1386683209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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