JACK JOSEPH HACHEM MD
NPI 1073074936
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Active since March 25, 2019PECOS Enrolled
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207(210) 704-2011 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Joseph Hachem Md NPPES

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

JACK JOSEPH HACHEM MD (NPI 1073074936) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073074936
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK JOSEPH HACHEMCredential: MD
Location Address333 N SANTA ROSA STSan Antonio, TX 78207-3108
Mailing Address105 Calvi CtBellaire, TX 77401-5108 · (281) 753-8560
Sole ProprietorYes
Enumeration DateMarch 25, 2019
Last NPPES UpdateJune 10, 2025
NPPES CertifiedJune 10, 2025
NPI 1073074936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedPediatricsTaxonomy 208000000X · License T6905 (TX)
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License T6905 (TX)
333 N SANTA ROSA ST, San Antonio, TX 78207

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jack Joseph Hachem Md 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.

Audiologist
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA ST, SUITE F3725
SAN ANTONIO, TX 78207
Otolaryngology (Pediatric Otolaryngology)
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Physician Assistant
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Pediatrics
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Dietitian, Registered
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Obstetrics & Gynecology
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207

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 Jack Hachem's NPI number?

The NPI number for Jack Hachem is 1073074936. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Jack Hachem located?

Jack Hachem practices at 333 N Santa Rosa St, San Antonio, TX 78207. The listed phone number is (210) 704-2011.

What is Jack Hachem's specialty?

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

Is Jack Hachem enrolled in Medicare?

Yes. Jack Hachem is registered in the Medicare PECOS enrollment system.

What insurance does Jack Hachem accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and Oscar Insurance Company list Jack Hachem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Hachem was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.