Active NPI
Jacob Eitel, M.D.
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01074479A
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Hendricks Regional Health
- Union Hospital Inc
- Putnam County Hospital
- Union Hospital Clinton
- Lutheran Hospital of Indiana
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01074479A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Hendricks County Radiology Inc | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Danville, IN
- NPI 1588703946
-
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1073584587
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1699072611
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danville, IN
- NPI 1669475950
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- Critical Access Hospital
- Greencastle, IN
- NPI 1912947490
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
-
- General Acute Care Hospital
- Clinton, IN
- NPI 1093713802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.