JACOB COLEMAN
NPI 1013859024
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since April 08, 2026PECOS Enrolled
3500 GASTON AVE, DALLAS, TX 75246(214) 820-3469 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Coleman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB COLEMAN (NPI 1013859024) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013859024
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB COLEMAN
Location Address3500 GASTON AVEDallas, TX 75246-2017
Mailing Address3500 Gaston AveDallas, TX 75246-2088
Sole ProprietorNo
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
NPI 1013859024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3500 GASTON AVE, Dallas, TX 75246

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacob Coleman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Coleman's NPI number?

The NPI number for Jacob Coleman is 1013859024. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Jacob Coleman located?

Jacob Coleman practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-3469.

What is Jacob Coleman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Coleman enrolled in Medicare?

Yes. Jacob Coleman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Coleman was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.