Dr. Jake S Vacarella, MD
Pediatrics in Lake Geneva, WI. Individual provider (NPI-1).
NPI number1104986777
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104986777
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jake S Vacarella
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 208000000X | Pediatrics | 36724 | WI | Yes |
| 208000000X | Pediatrics | 036-091399 | IL |
Practice location
N2950 State Road 67Lake Geneva, WI 53147-2655
Phone 262-245-0535
Mailing address
N2950 State Road 67Lake Geneva, WI 53147-2655
Phone 262-245-0535
Is something wrong?
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.
Other Pediatrics Physician providers in Lake Geneva, WI
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- Francis Uchechi Iregbu, MDNPI 1871172379
- Shaunna M Lyon, MDNPI 1891904546
- Danny Mackenzie, DONPI 1891435129
- George Matthew Mussman, MDNPI 1881398170
- Lora A Nerland, DONPI 1851581714
- Ronald Ragotzy, MDNPI 1295890630
All 8 Pediatrics Physician providers in Lake Geneva · All 454 providers in Lake Geneva
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