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DR. KENNETH MICHAEL JACOB MD NPI 1437121829


NPI Information

NPI: 1437121829
Provider Name: DR. KENNETH MICHAEL JACOB, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: THE CURATORS OF THE UNIVERSITY OF MISSOURI

PECOS Registration: Yes

Address:
19460 CALADESI DR
FORT MYERS, FL
ZIP 33967
Phone: (913) 707-0826
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DR. Kenneth Michael Jacob, MD is a diagnostic radiology radiology in Fort Myers, FL with 42 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 chest, 2 views, front and side (HCPCS:71020)
  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of abdomen, single view (HCPCS:74000)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)

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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyR3D70MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000574AMEDICARE ID-TYPE UNSPECIFIED
2E58991MEDICARE UPIN
312485021OTHERBCBS
4203728035MEDICAIDMISSOURI
5100154570DMEDICAIDKANSAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.