ZACHARY JAKUBIK DO
NPI 1124512058
Emergency Medicine in Fort Wayne, IN

Active since June 14, 2018PECOS Enrolled
2520 E DUPONT RD, FORT WAYNE, IN 46825(260) 416-3000 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2024, Jul 10, 2024, Jun 21, 2024 and 2 more (5 updates tracked since 2018).

About Zachary Jakubik Do NPPES

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

ZACHARY JAKUBIK DO (NPI 1124512058) is an individual emergency medicine provider in Fort Wayne, Indiana, licensed in Michigan (5101024601) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124512058
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameZACHARY JAKUBIKCredential: DO
Location Address2520 E DUPONT RDFort Wayne, IN 46825-1675
Mailing Address1909 Gardenia Ave Apt 4Royal Oak, MI 48067-2130 · (586) 557-5036
Sole ProprietorNo
Enumeration DateJune 14, 2018
Last NPPES UpdateJuly 17, 20245 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
NPI 1124512058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in MI · 5101024601 Licensed in IN · 02006550B
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2520 E DUPONT RD, Fort Wayne, IN 46825

Other Identifiers 1

Medicaid0045751OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Zachary Jakubik Do 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
43 services43 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
42 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

Pharmacist
2520 E DUPONT RD
FORT WAYNE, IN 46825
Pharmacist
2520 E DUPONT RD
FORT WAYNE, IN 46825
Pharmacist
2520 E DUPONT RD
FORT WAYNE, IN 46825
Dietitian, Registered
2520 E DUPONT RD
FORT WAYNE, IN 46825
Registered Nurse
2520 E DUPONT RD
FORT WAYNE, IN 46825
Dietitian, Registered
2520 E DUPONT RD
FORT WAYNE, IN 46825
Dietitian, Registered
2520 E DUPONT RD
FORT WAYNE, IN 46825
Internal Medicine
2520 E DUPONT RD
FORT WAYNE, IN 46825

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 Zachary Jakubik's NPI number?

The NPI number for Zachary Jakubik is 1124512058. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Zachary Jakubik located?

Zachary Jakubik practices at 2520 E Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (260) 416-3000.

What is Zachary Jakubik's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Zachary Jakubik enrolled in Medicare?

Yes. Zachary Jakubik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Jakubik was last updated on July 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.