DR. JACOB SUNG SIK KEUM D.O. NPI 1215998737

NPI Information

NPI: 1215998737
Provider Name: DR. JACOB SUNG SIK KEUM, D.O.
Classification: Emergency Medicine - 207PE0004X
Specialization: Emergency Medical Services
Entity Type: Individual
PECOS Registration: Yes
Address: 1600 MORGAN ST
KEOKUK, IA
ZIP 52632
Phone: (319) 524-7150

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NPI Details

DR. Jacob Sung Sik Keum, D.O. is an emergency medical services emergency medicine in Keokuk, IA with 25 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DR. Jacob Sung Sik Keum, D.O. NPI is 1215998737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2000

The provider's business location address is:

1600 MORGAN ST
KEOKUK, IA
ZIP 52632-497
Phone: (319) 524-7150
Fax: (319) 524-5317

The NPI 1215998737 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 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.

Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
Emergency department visit for life threatening or functioning severity (HCPCS:99285)
Hospital discharge day management, more than 30 minutes (HCPCS:99239)
Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
Emergency department visit for problem of high severity (HCPCS:99284)
Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 4/1/2006 and was last updated on 6/7/2019.

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	204D00000X	Neuromusculoskeletal Medicine & OMM		227598	NEW YORK	No
2	207P00000X	Emergency Medicine		03623	KENTUCKY	No
3	207QG0300X	Family Medicine	Geriatric Medicine	227598	NEW YORK	No
4	208D00000X	General Practice		227598	NEW YORK	No
5	207PE0004X	Emergency Medicine	Emergency Medical Services	20A13246	CALIFORNIA	Yes
6	207P00000X	Emergency Medicine		DO-04697	IOWA	No

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	02461874	MEDICAID	NEW YORK

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: 3/30/2025

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