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JACOB ALEXANDER GOHDES
NPI 1114621034
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Active since March 27, 2023PECOS Enrolled
2411 HOLMES ST, KANSAS CITY, MO 64108(303) 549-6209 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Alexander Gohdes NPPES

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

JACOB ALEXANDER GOHDES (NPI 1114621034) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114621034
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB ALEXANDER GOHDES
Location Address2411 HOLMES STKansas City, MO 64108-2741
Mailing Address2411 Holmes StKansas City, MO 64108-2741
Phone(303) 549-6209
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1114621034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
2411 HOLMES ST, Kansas City, MO 64108
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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 (PECOS)

Jacob Alexander Gohdes 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.

EMMA HUTCHIN
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-1808
BRANDON PARK
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (224) 518-5839
SARAH TOTTA
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-1808
NITIN NADELLA
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (224) 337-2213
YUMING WU
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-1808
KIMIA ZORAGHCHI
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-1808
SANJANA NALLAGATLA
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-1808
NATHAN T MARION
Student in an Organized Health Care Education/Training Program
2411 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 235-5412

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 Gohdes's NPI number?

The NPI number for Jacob Gohdes is 1114621034. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Jacob Gohdes located?

Jacob Gohdes practices at 2411 Holmes St, Kansas City, MO 64108. The listed phone number is (303) 549-6209.

What is Jacob Gohdes'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 Gohdes enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Gohdes was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.