NPIMap

Individual provider Active NPI

Jacob R Hayden, MD

  • Cardiovascular Disease Physician
  • Jefferson City, MO
National Provider Identifier
1871022954
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2023024429 Issued in MO
Practice address
3501 W Truman Blvd # a
Jefferson City, MO 65109-0514
Phone
(573) 636-0635
Fax
(573) 659-4685
NPI assigned
Jun 12, 2017
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2017018234 MO
Cardiovascular Disease Physician 207RC0000X 2020019009 MO
Cardiovascular Disease Physician 207RC0000X 2023024429 MO Primary

Addresses

Primary practice location

3501 W Truman Blvd # a
Jefferson City, MO 65109-0514

Mailing address

3501A W Truman Blvd
Jefferson City, MO 65109-5715
Phone (573) 636-0635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726003141 MO Practitioner - Cardiovascular Disease (Cardiology) 2365712882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians

Practice addresses (Care Compare)

2505 Mission Dr
Suite 130
Jefferson City, MO 65109-9508
Phone (573) 681-3585

3501 A W Truman Blvd
Jefferson City, MO 65109-5715
Phone (573) 659-2001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020019009MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Curators of the University of Missouri CurrentSince Jan 1, 2024 Accepting new patients
Curators of the University of Missouri CurrentSince Jan 1, 2024 Accepting new patients
SSM Regional Health Services CurrentSince Aug 1, 2023 Accepting new patients
SSM Regional Health Services CurrentSince Aug 1, 2023 Accepting new patients
Capital Region Medical Center Cardiovascular Disease Past Accepting new patients
SSM Regional Health Services Past Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1 Hospital Dr
#4300
Columbia, MO 65212
Phone (573) 884-1606

101 S Fairview Rd
Columbia, MO 65203
Phone (573) 882-1095

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

3501A W Truman Blvd
Jefferson Cty, MO 65109
Phone (573) 636-0635

901 Kidwell Dr
Versailles, MO 65084
Phone (573) 378-4666

Interoperability endpoints

  • Direct secure messaging: jhayden455508@direct-ehr-ssmhc.com

Organizations & group practices 6

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 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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1871022954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501A W TRUMAN BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095715",
            "telephone_number": "573-636-0635",
            "fax_number": "573-659-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W TRUMAN BLVD # A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651090514",
            "telephone_number": "573-636-0635",
            "fax_number": "573-659-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "JACOB",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2017018234",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2020019009",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2023024429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.