JOHN P JACOBS M.D. NPI 1568454163

NPI Information

NPI: 1568454163
Provider Name: JOHN P JACOBS, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
1401 CHESTER BLVD
RICHMOND, IN
ZIP 47374
Phone: (765) 983-3168
Get Directions

John P Jacobs, M.D. is a radiation oncology radiology in Richmond, IN. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. John P Jacobs, M.D. NPI is 1568454163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1401 CHESTER BLVD
RICHMOND, IN
ZIP 47374-908
Phone: (765) 983-3168
Fax: (765) 983-3275

The NPI 1568454163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2005 and was last updated on 12/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	01045864	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	351348013	OTHER		TAX ID NUMBER
2	000000588411	OTHER	INDIANA	ANTHEM PIN
3	1487680518	OTHER	INDIANA	GROUP NPI
4	065910M	MEDICARE ID-TYPE UNSPECIFIED
5	677730UUU	MEDICARE PIN	INDIANA
6	200109120	MEDICAID	INDIANA
7	100194370	OTHER	INDIANA	GROUP MEDICAID
8	200288740	OTHER	INDIANA	GROUP MEDICAID
9	F67230	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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