Lewis E Jacobson, MD
Surgery in Indianapolis, IN. Individual provider (NPI-1).
NPI number1104888098
StatusActive
Last updated in NPPESAug 3, 2018
Details
- NPI
- 1104888098
- Entity type
- Individual (NPI-1)
- Name
- Lewis E Jacobson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2006
- Last updated
- Aug 3, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 1039371A | IN | Yes |
Practice location
8240 Naab RoadSuite 100
Indianapolis, IN 46260
Phone 317-274-3086 · Fax 317-278-1886
Mailing address
11541 E Winchester LnEllicott City, MD 21042-2040
Phone 833-220-2685 · Fax 317-947-0839
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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