Active NPI
Jacob Joseph Becker, M.D.
- Diagnostic Radiology Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD2016-0110
- Practice address
- 1 Hospital Dr # Dc018.00
Columbia, MO 65201-5276 - Phone
- (573) 884-5697
- Fax
- (573) 884-8876
- NPI assigned
- Aug 12, 2011
- Last updated
- Jun 24, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2011019836 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | MD2016-0110 | NM | Primary |
| Diagnostic Radiology Physician | 2085R0202X | DR.0056443 | CO |
Addresses
Primary practice location
1 Hospital Dr # Dc018.00
Columbia, MO 65201-5276
Mailing address
1 Hospital Dr # Dc018.00
Columbia, MO 65201-5276
Phone (573) 884-5697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011019836 | Other | MO | MISSOURI STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Missouri, Columbia School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10275 Tradition PL
Lone Tree, CO 80124-8505
Phone (216) 444-2200
1580 Red Hawk CT
Steamboat Springs, CO 80487-2320
Phone (573) 619-8487
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0056443 | CO | MD | Diagnostic Radiology Physician |
| 2011019836 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Uchealth Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology & Imaging Consultants PC | Diagnostic Radiology | Current | Accepting new patients |
| Cleveland Clinic Health Services Professional Association, Inc | Current | Accepting new patients | |
| Uchealth Imaging Services, LLC | Current | Accepting new patients |
Locations
106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511
875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
175 S Union Blvd
Colorado Springs, CO 80910
Phone (719) 305-8000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Cleveland, OH
- NPI 1770082471
CO
-
- Diagnostic Radiology Physician
- Colorado Springs, CO
- NPI 1598700825
-
- Diagnostic Radiology Physician
- Highlands Ranch, CO
- NPI 1043162142
-
- Diagnostic Radiology Physician
- Broomfield, CO
- NPI 1396210902
-
- Radiology Clinic/Center
- Denver, CO
- NPI 1871116269
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Avon, OH
- NPI 1346607017
-
dba Hillcrest Hospital
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
dba Mercy Medical Center
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1679852271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR # DC018.00",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015276",
"telephone_number": "573-884-5697",
"fax_number": "573-884-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR # DC018.00",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015276",
"telephone_number": "573-884-5697",
"fax_number": "573-884-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "JACOB",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-12",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2011019836",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "MD2016-0110",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "DR.0056443",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI STATE LICENSE",
"identifier": "2011019836",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.