Individual provider Active NPI

Jacob Eitel, M.D.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1023351608
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01074479A Issued in IN
Practice address
1633 N Capitol Ave
Methodist Medical Tower, Ste 640
Indianapolis, IN 46202-1261
Phone
(317) 962-8881
Fax
(317) 962-0838
NPI assigned
Apr 1, 2013
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X 01074479A IN Primary

Addresses

Primary practice location

1633 N Capitol Ave
Methodist Medical Tower, Ste 640
Indianapolis, IN 46202-1261

Mailing address

1633 N Capitol Ave
Methodist Medical Tower, Ste 640
Indianapolis, IN 46202-1261
Phone (317) 962-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190510002072 IN Practitioner - Diagnostic Radiology 3274772488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana Medical College, School of Medicine of Purdue University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
Hendricks County Radiology IncGroup PAC ID 2769408392, 10 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Practice addresses (Care Compare)

Whitestown, IN 46075
Phone (260) 432-1568

1000 E Main St
Danville, IN 46122-1948
Phone (317) 745-4451

6208 Andrews Way
Whitestown, IN 46075-4416
Phone (888) 501-6087

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01074479AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Radiology P C Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Hendricks County Radiology Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients

Locations

1000 E Main St
Danville, IN 46122
Phone (317) 745-3420

5001 US Highway 30 W
#D
Fort Wayne, IN 46818
Phone (808) 599-4471

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1023351608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 N CAPITOL AVE",
            "address_2": "METHODIST MEDICAL TOWER, STE 640",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021261",
            "telephone_number": "317-962-8881",
            "fax_number": "317-962-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 N CAPITOL AVE",
            "address_2": "METHODIST MEDICAL TOWER, STE 640",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021261",
            "telephone_number": "317-962-8881",
            "fax_number": "317-962-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EITEL",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01074479A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.