Individual provider Active NPI

Orville J. Jacobs, DO

  • Family Medicine Physician
  • Altoona, IA
National Provider Identifier
1558348169
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01548 Issued in IA
Practice address
5225 NE 96TH St
Altoona, IA 50009-9493
Phone
(515) 240-5042
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01548 IA Primary

Addresses

Primary practice location

5225 NE 96TH St
Altoona, IA 50009-9493

Mailing address

5225 NE 96TH St
Altoona, IA 50009-9493
Phone (515) 240-5042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20071231000496 IA Practitioner - Family Practice 7214017482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pella Regional Health CenterGroup PAC ID 9931005873, shared by 10 NPIs, 96 clinicians

Practice addresses (Care Compare)

405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832

411 Merrill St
Bussey, IA 50044-7711
Phone (641) 944-5813

Hospital & facility affiliations

  • Pella Regional Health Center Hospital, Pella, IA, CCN 161367

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40
Cost
81.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01548IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pella Regional Health Center CurrentSince Sep 1, 2017 Accepting new patients
Pella Regional Health Center Current Accepting new patients
Pella Regional Health Center Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

405 Monroe St
Pella, IA 50219
Phone (641) 621-2200

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1558348169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 NE 96TH ST",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500099493",
            "telephone_number": "515-240-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 NE 96TH ST",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500099493",
            "telephone_number": "515-240-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ORVILLE",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "01548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

Verify at the official NPI Registry.