Active NPI
James M Jacobi, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Bedford, IN
National Provider Identifier
1447339502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 1028615
- Practice address
- 1600 23Rd St
Bedford, IN 47421-4704 - Phone
- (812) 276-1374
- Fax
- (812) 276-1026
- NPI assigned
- Nov 2, 2006
- Last updated
- Aug 12, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 1028615 | IN | Primary |
Addresses
Primary practice location
1600 23Rd St
Bedford, IN 47421-4704
Mailing address
PO Box 1281
Bedford, IN 47421-1281
Phone (812) 276-1253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202272330A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1028615 | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limestone Laboratory Pathology Consultants, LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Interoperability endpoints
- jjacobi@yourcarecommunity.org
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Bedford, IN
- NPI 1215096870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1447339502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1281",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474211281",
"telephone_number": "812-276-1253",
"fax_number": "812-276-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 23RD ST",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474214704",
"telephone_number": "812-276-1374",
"fax_number": "812-276-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBI",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "1028615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202272330A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, IN
- Integra Imaging Partners LLC
- Iu Health Bedford Physicians, LLC
- J & B Schuckman Inc (Medicine Plus)
- Jackson County Schneck Memorial Hospital (Stonebridge Health Campus)
- Ashlea Jackson, PMHNP
- Jayme Albin
- JDN Enterprises Incorporated (Nottger Chiropractic and Acupuncture)
- JDN Enterprises Incorporated (Nottger Chiropractic and Acupunture)
- Alyssa Michelle Jenkins
- Jim I Sowders OD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.