JOHN MICHAEL JACOBS MD NPI 1881785046

NPI Information

  • NPI: 1881785046
  • Provider Name: JOHN MICHAEL JACOBS, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6301 UNIVERSITY COMMONS STE 210
    SOUTH BEND, IN
    ZIP 46635
  • Phone: (574) 234-4016

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NPI Details

John Michael Jacobs, MD is a family medicine in South Bend, IN with 41 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John Michael Jacobs, MD NPI is 1881785046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1984

The provider's business location address is:

6301 UNIVERSITY COMMONS STE 210
SOUTH BEND, IN
ZIP 46635-590
Phone: (574) 234-4016
Fax: (574) 239-4607

The NPI 1881785046 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Hemoglobin a1c level (HCPCS:83036)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Removal of impacted ear wax (HCPCS:69210)
  • Red blood cell concentration measurement (HCPCS:85014)

The enumeration date for this NPI number is 9/27/2006 and was last updated on 6/3/2024.

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
1207Q00000XFamily Medicine01034365INDIANAYes

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
1100333920AMEDICAIDINDIANA

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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