DR. JACOB STEPHEN M.D NPI 1174624415

NPI Information

  • NPI: 1174624415
  • Provider Name: DR. JACOB STEPHEN, M.D
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1850 GATEWAY DR
    SYCAMORE, IL
    ZIP 60178
  • Phone: (630) 232-0280

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NPI Details

DR. Jacob Stephen, M.D is an interventional cardiology internal medicine in Sycamore, IL with 27 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Jacob Stephen, M.D NPI is 1174624415. 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:

1850 GATEWAY DR
SYCAMORE, IL
ZIP 60178-192
Phone: (630) 232-0280
Fax: (630) 232-3895

The NPI 1174624415 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report (HCPCS:93351)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Heart muscle strain imaging (HCPCS:93356)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection of x-ray contrast during ultrasound of heart (HCPCS:93352)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/15/2024.

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
1207RC0000XInternal MedicineCardiovascular Disease35.083380OHIONo
2207RI0011XInternal MedicineInterventional Cardiology036133593ILLINOISYes

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
1206147OTHERILLINOISMEDICARE GROUP PTAN
2F40332641OTHERILLINOISMEDICARE INDIVID PTAN

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: 11/21/2025

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