Individual provider Active NPI

Jacob C Deister, M.D.

  • Orthopaedic Surgery Physician
  • Topeka, KS
National Provider Identifier
1831486810
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
04-39039 Issued in KS
Practice address
2660 SW 3Rd St
Topeka, KS 66606-2442
Phone
(785) 270-8880
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 04-39039 KS Primary

Addresses

Primary practice location

2660 SW 3Rd St
Topeka, KS 66606-2442

Mailing address

2660 SW 3Rd St
Topeka, KS 66606-2442
Phone (785) 270-8880

Other practice location 1

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other identifiers 3

IdentifierTypeStateIssuer
201136410AMedicaidKS
068002387OtherKSMEDICARE PTAN
30004381810001MedicaidKS

Other names 1

  • Dr. Jake C Deister Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160722000155 KS Practitioner - Orthopedic Surgery 9032347505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wright State University Boonshoft School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

2660 SW 3Rd St
Topeka, KS 66606-2442
Phone (785) 357-0301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement42
Knee replacement110
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-39039KSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Aug 1, 2016 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Aug 1, 2016 Accepting new patients

Locations

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

823 SW Mulvane St
Lowr
Topeka, KS 66606
Phone (785) 368-0400

2660 SW 3rd St
Topeka, KS 66606
Phone (785) 270-8880

Interoperability endpoints

  • Direct secure messaging: jdeister40160@stormontvaildirect.org

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 and National Provider Directory roles.

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1831486810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 SW 3RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062442",
            "telephone_number": "785-270-8880",
            "fax_number": "785-270-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SW 3RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062442",
            "telephone_number": "785-270-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEISTER",
        "first_name": "JACOB",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-39039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201136410A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002387",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004381810001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "DEISTER",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.