Michael D Jacob is a Indianapolis, Indiana based nurse anesthetist with 27 years of experience as Anesthesia Administration. He completed he graduation in 1998. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Michael D Jacob is 28181433A for Anesthesia Administration in Indiana. his current practice location is 7150 Clearvista Drive, Indianapolis. Patients can reach him at 317-621-5890 or can fax him at 317-355-2205. Michael D Jacob is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1508824905. Michael D Jacob is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Michael D Jacob speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5991731390
Enrollment ID:
I20090717000492
NPI Number:
1508824905
NPI Enumeration Date:
03 May, 2006
NPI Last Update On:
21 Jul, 2015
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael D Jacob are as mentioned below.
License Number
Specialization
State
Status
28181433A
Anesthesia Administration
Indiana
Primary
103360
Anesthesia Administration
Tennessee
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Michael D Jacob has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Anesthesia Care Associates Llc (6608042288)
17
Western Ohio Sedation Associates Llc (3779848684)
17
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael D Jacob such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000595410
Other
Indiana
ANTHEM
3628323
Medicaid
Tennessee
200926510
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6626 E 75th St, Indianapolis, Indiana
Zip:
46250-2805
Phone Number:
--
Fax Number:
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Patients can reach Michael D Jacob at 7150 Clearvista Drive, Indianapolis, Indiana or can call to book an appointment on 317-621-5890.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.