Seethal A Jacob

M.D. | Pediatric Hematology-Oncology | Female

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Complete Profile:

Seethal A Jacob basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Hematology-Oncology
Provider Name :	Seethal A Jacob
Credential :	M.D.
Gender :	Female

Business Address:

Seethal A Jacob address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	705 Riley Hospital Dr, Roc 4340 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-944-2143
Fax Number :	317-944-3107

Professional Identification Codes:

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.

NPI Number :	1447486907
NPI Entity Type :	Individual
First Enrolment Date :	10 Jun, 2009
Last Updated On :	17 Oct, 2022

Medicare Participation:

Seethal A Jacob participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9931363835
Medicare Enrollment ID :	I20120605000469
Primary Specialty :	Pediatric Medicine
Medical School :	Wright State University Boonshoft School Of Medicine
Graduation Year :	2009
Accepts Medicare?	Yes. Seethal A Jacob accepts medicare insurance.

Group Practice Association:

Seethal A Jacob is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Seethal A Jacob is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatric Associates, Inc.	2163326794	123	705 Riley Hospital Dr Indianapolis, IN - 462025109 Ph: 3179445000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Seethal A Jacob are as mentioned. Primary taxonomy code for Seethal A Jacob, M.D. is 2080P0207X (Pediatrics, Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics, Pediatric Hematology-Oncology	Yes	01070970A	IN

Legacy Identifiers:

Other legacy medical identifiers of Seethal A Jacob such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
145590122	MEDICARE PIN	IN
201066190	MEDICAID	IN

Other Practice Locations:

Practice Address	City, State	Phone Number
11104 PARKVIEW CIRCLE DR STE 50, FORT WAYNE, IN, 46845-1733 United States	FORT WAYNE, IN	260-266-5400

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1026 Indianapolis, IN, 46206-1026 United States
Phone Number :	317-777-6435
Fax Number :	317-777-6644

Business Location:

Patients can refer following map for directions to Seethal A Jacob practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.