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JACOB BODWAY
NPI 1063133635
Anesthesiologist Assistant in Miami, FL

Active since September 12, 2022PECOS EnrolledAccepts Medicare Assignment
3663 S MIAMI AVE, MIAMI, FL 33133(305) 854-4400 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Bodway NPPES

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

JACOB BODWAY (NPI 1063133635) is an individual anesthesiologist assistant in Miami, Florida, licensed in Florida (AA734) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of University Of South Florida College Of Medicine (2018).

NPPES Registry Identity

NPI1063133635
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameJACOB BODWAY
Location Address3663 S MIAMI AVEMiami, FL 33133-4253
Mailing Address770 Claughton Island Dr Apt 810Miami, FL 33131-2627 · (952) 239-1766
Phone(305) 854-4400
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2018
Enumeration DateSeptember 12, 2022
Last NPPES UpdateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1063133635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in FL · AA734
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
3663 S MIAMI AVE, Miami, FL 33133
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Bodway is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800271008
PECOS Enrollment IDI20251103001441
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

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.

DR. BRIAN F BAIGORRI M.D.
Radiology (Vascular & Interventional Radiology)
3663 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (305) 854-4400
AILEN LARIAS ARENCIBIA
Nurse Practitioner (Family)
3663 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (786) 317-7327
DR. NESTOR OMAR CANCIO MORALES M.D.
Internal Medicine (Pulmonary Disease)
3663 S MIAMI AVE, STE 3325
MIAMI, FL 33133
Miami-Dade County (305) 856-1461
PLANTATION GENERAL HOSPITAL LP
General Acute Care Hospital
3663 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (305) 285-2121
MATTHEW MAGGIO
Anesthesiology
3663 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (305) 854-4400
DR. ROBERTO FERNANDEZ D.O
Emergency Medicine
3663 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (305) 854-4400
KELLEY ROACH DO
Anesthesiology
3663 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (305) 854-4400
RODOLFO ZACARIAS SCHNEER M.D.
Emergency Medicine
3663 S MIAMI AVE, MEDICAL STAFF OFFICE
MIAMI, FL 33133
Miami-Dade County (305) 439-8888

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 Bodway's NPI number?

The NPI number for Jacob Bodway is 1063133635. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Jacob Bodway located?

Jacob Bodway practices at 3663 S Miami Ave, Miami, FL 33133. The listed phone number is (305) 854-4400.

What is Jacob Bodway's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jacob Bodway enrolled in Medicare?

Yes. Jacob Bodway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacob Bodway affiliated with any hospitals?

According to CMS data, Jacob Bodway is affiliated with Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Bodway was last updated on September 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.