Jacob A. Stelle, M.D.

Key facts

NPI

1154632040

Entity type

Individual (NPI type 1)

Primary specialty

Otolaryngology Physician 207Y00000X

License

036138435 (IL)

Practice address

3105 Fields South Dr
Champaign, IL 61822-3743

Phone

(217) 902-3277

Fax

(217) 902-7757

NPI assigned

Jun 25, 2010

Sex

Male

Sole proprietor

No

Organizations & group practices 5

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

• Carle Health Care Incorporated Internal Medicine Physician · Urbana, IL · NPI 1154653947
  Medicare reassignment Care Compare group NPD IL
• Carle Health Care Incorporated Durable Medical Equipment & Medical Supplies · Champaign, IL · NPI 1235452996
  Care Compare group
• Carle Health Care Incorporated Durable Medical Equipment & Medical Supplies · Champaign, IL · NPI 1114240876
  NPD (past)
• Gibson Community Hospital Association Critical Access Hospital · Gibson City, IL · NPI 1114935681
  NPD (past)
• The Carle Foundation Hospital General Acute Care Hospital · Urbana, IL · NPI 1013071653
  NPD (past)

Hospital & facility affiliations 2

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

• Carle Surgicenter Ambulatory Surgical Clinic/Center · Danville, IL · NPI 1225194533
  Care Compare affiliation Hospital
• The Carle Foundation Hospital General Acute Care Hospital · Urbana, IL · NPI 1013071653
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Otolaryngology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carle Health Care Incorporated (1,592 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carle Foundation Hospital Hospital · Urbana, IL · CCN 140091

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 30, 2026.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1154632040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012501",
            "telephone_number": "217-383-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 FIELDS SOUTH DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618223743",
            "telephone_number": "217-902-3277",
            "fax_number": "217-902-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLE",
        "first_name": "JACOB",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036138435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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