JACOB DUKE MD
NPI 1083761878
Student in an Organized Health Care Education/Training Program in Nashville, TN

Active since January 04, 2007PECOS Enrolled

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Duke Md NPPES

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

JACOB DUKE MD (NPI 1083761878) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083761878
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB DUKECredential: MD
Location Address2601 TVCNashville, TN 37232-0001
Mailing Address2601 TvcNashville, TN 37232-0001 · (615) 322-4916
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1083761878 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.

2601 TVC, Nashville, TN 37232

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jacob Duke Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 12, 2012 through April 12, 2026.

Opt-Out Effective DateApril 12, 2012
Opt-Out In Effect ThroughApril 12, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Student in an Organized Health Care Education/Training Program
2601 TVC
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
2601 TVC
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
2601 TVC
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
2601 TVC
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
2601 TVC
NASHVILLE, TN 37232
Pediatrics (Neonatal-Perinatal Medicine)
2601 TVC
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
2601 TVC
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
2601 TVC
NASHVILLE, TN 37232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083761878, enumerated as an "individual" on January 04, 2007.

The provider is located at 2601 TVC NASHVILLE, TN 37232 and the phone number is (615) 322-4916.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, BEST Life,. Please consult your insurance carrier or call the provider to verify.