Individual provider Active NPI

Jacob Umscheid

  • Pediatrics Physician
  • Casa Grande, AZ
National Provider Identifier
1831757095
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
66328 Issued in AZ
Practice address
1863 East Florence Blvd
Casa Grande, AZ 85122
Phone
(520) 836-5036
NPI assigned
Jun 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 94-09898 KS
Pediatrics Physician 208000000X 66328 AZ Primary

Addresses

Primary practice location

1863 East Florence Blvd
Casa Grande, AZ 85122

Mailing address

PO Box 96395
Phoenix, AZ 85072-6395
Phone (520) 836-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220712002270 AZ Practitioner - Pediatric Medicine 0749516409 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Jul 31, 2022 Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center Inc Past Accepting new patients
Sun Life Family Health Center, Inc PastSince Jul 31, 2022 Accepting new patients

Locations

2080 W Southern Ave
Bldg B10
Apache Junction, AZ 85120
Phone (480) 351-2850

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

1856 E Florence Blvd
#1
Casa Grande, AZ 85122

1863 E Florence Blvd
Casa Grande, AZ 85122

1864 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 381-0320

1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380

1856 E Florence Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 381-0380

655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471

205 N Stuart Blvd
Eloy, AZ 85131
Phone (520) 466-7883

174 W Highway 287
Florence, AZ 85132
Phone (520) 868-5811

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1831757095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96395",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850726395",
            "telephone_number": "520-836-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1863 EAST FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85122",
            "telephone_number": "520-836-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMSCHEID",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "94-09898",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "66328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.