Individual provider Active NPI

Jacob Jeffrey Scheibal

  • Diagnostic Radiology Physician
  • New Orleans, LA
National Provider Identifier
1437593381
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME141566 Issued in FL
Practice address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone
(504) 842-3000
NPI assigned
Apr 22, 2013
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME141566 FL Primary

Addresses

Primary practice location

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, GA, NM4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20191106000498 FL Practitioner - Diagnostic Radiology 2769606573 Reassigns benefits to 2 organizations
I20191202002758 CA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 2769606573 Reassigns benefits to 1 organization
I20200724000760 GA Practitioner - Diagnostic Radiology 2769606573 Reassigns benefits to 2 organizations
I20230202000813 NM Practitioner - Diagnostic Radiology 2769606573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1900 Tebeau St
Suite C
Waycross, GA 31501-6357
Phone (404) 851-6577

237 Anita PL
Santa Fe, NM 87505-8805
Phone (404) 851-6577

3599 University Blvd S
Suite 300
Jacksonville, FL 32216-4245
Phone (404) 662-2438

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Aug 11, 2019 Accepting new patients

Locations

3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

120 Gordon St
Washington, GA 30673
Phone (706) 678-1177

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

1900 Tebeau St
Ste C
Waycross, GA 31501

13333 Northwest Fwy
Ste 540
Houston, TX 77040
Phone (281) 962-3608

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 5

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1437593381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIBAL",
        "first_name": "JACOB",
        "middle_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME141566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.