Individual provider Active NPI

Jacob Robert Oberheu, PA

  • Physician Assistant
  • Delta, CO
National Provider Identifier
1861795379
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003129 Issued in CO
Practice address
257 Cottonwood St
Delta, CO 81416-4400
Phone
(970) 399-4200
NPI assigned
Dec 6, 2010
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0003129 CO Primary

Addresses

Primary practice location

257 Cottonwood St
Delta, CO 81416-4400

Mailing address

PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-2470

Other practice location 1

1501 E 3rd St
Delta, CO 81416-2815
Phone (970) 874-7681

Other identifiers 1

IdentifierTypeStateIssuer
24126276MedicaidCO

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110330000721 CO Practitioner - Physician Assistant 1951584820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians

Practice addresses (Care Compare)

1501 E 3Rd St
Oncology and Hematology
Delta, CO 81416-2815
Phone (970) 399-2895

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0003129COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delta County Memorial Hospital CurrentSince Jul 5, 2025 Accepting new patients

Locations

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

257 Cottonwood St
Delta, CO 81416
Phone (970) 399-4200

Interoperability endpoints

  • Direct secure messaging: jacob.oberheu.1@11373.direct.athenahealth.com
  • Direct secure messaging: jacob.oberheu.1@12539.direct.athenahealth.com

Organizations & group practices 2

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.

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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1861795379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10100",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814160008",
            "telephone_number": "970-874-2470",
            "fax_number": "970-874-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 COTTONWOOD ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814164400",
            "telephone_number": "970-399-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162815",
            "country_code": "US",
            "telephone_number": "970-874-7681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERHEU",
        "first_name": "JACOB",
        "middle_name": "ROBERT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24126276",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.