Active NPI
Jacob Hessman, M.D.
- Pediatrics Physician
- Salina, KS
National Provider Identifier
1629431663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0442048
- Practice address
- 501 S. Santa Fe Ave
Suite 100
Salina, KS 67401 - Phone
- (785) 825-2273
- Fax
- (785) 825-2275
- NPI assigned
- Mar 29, 2016
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0442048 | KS | Primary |
Addresses
Primary practice location
501 S. Santa Fe Ave
Suite 100
Salina, KS 67401
Mailing address
501 S. Santa Fe Ave
Suite 100
Salina, KS 67401
Phone (785) 825-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201245470A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0442048 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salina Regional Health Center, Inc | Hospitalist | Current | Accepting new patients |
| Salina Regional Health Center, Inc. | Current | Accepting new patients | |
| Comcare, P.a | Past | Accepting new patients | |
| Salina Regional Health Center, Inc | Past | Accepting new patients |
Locations
501 S Santa Fe Ave
Ste 100
Salina, KS 67401
Phone (785) 827-9631
2265 S 9th St
Salina, KS 67401
Phone (785) 452-6000
400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019
Interoperability endpoints
- jacob.hessman@srhcdirect.com
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.
-
- Urgent Care Clinic/Center
- Salina, KS
- NPI 1336513274
-
- Family Medicine Physician
- Salina, KS
- NPI 1124083373
-
- General Acute Care Hospital
- Salina, KS
- NPI 1689635138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1629431663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S. SANTA FE AVE",
"address_2": "SUITE 100",
"city": "SALINA",
"state": "KS",
"postal_code": "67401",
"telephone_number": "785-825-2273",
"fax_number": "785-825-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S. SANTA FE AVE",
"address_2": "SUITE 100",
"city": "SALINA",
"state": "KS",
"postal_code": "67401",
"telephone_number": "785-825-2273",
"fax_number": "785-825-2275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESSMAN",
"first_name": "JACOB",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-29",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "0442048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201245470A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.