DR. KENNETH MICHAEL JACOB MD NPI 1437121829

NPI Details

DR. Kenneth Michael Jacob, MD is a diagnostic radiology radiology in Fort Myers, FL with 44 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Kenneth Michael Jacob, MD NPI is 1437121829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1982

The provider's business location address is:

19460 CALADESI DR
FORT MYERS, FL
ZIP 33967-572
Phone: (913) 707-0826

The NPI 1437121829 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.

• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of knee, 1-2 views (HCPCS:73560)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• X-ray of knee, 3 views (HCPCS:73562)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of thigh bone, minimum 2 views (HCPCS:73552)
• X-ray of hip, 1 view (HCPCS:73501)
• X-ray of elbow, 2 views (HCPCS:73070)
• X-ray of knee, 4 or more views (HCPCS:73564)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of lower leg, 2 views (HCPCS:73590)
• X-ray of middle spine, 3 views (HCPCS:72072)
• Mri scan of leg joint without contrast (HCPCS:73721)

The enumeration date for this NPI number is 2/1/2006 and was last updated on 11/13/2013.

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:

Other Identifiers

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