MR. JACOB HAMMOND MD
NPI 1154857969
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since May 11, 2017PECOS Enrolled
12631 E 17TH AVE, AURORA, CO 80045(303) 724-2750 Get Directions Write a Review

NPPES record last updated: July 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2020, Feb 8, 2019, May 7, 2018 and 1 more (4 updates tracked since 2017).

About Mr. Jacob Hammond Md NPPES

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

MR. JACOB HAMMOND MD (NPI 1154857969) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL.0009741) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154857969
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JACOB HAMMONDCredential: MD
Location Address12631 E 17TH AVEAurora, CO 80045-2527
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5452 · (480) 301-8000
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateJuly 1, 20234 updates tracked since enumeration
NPPES CertifiedJuly 1, 2023
NPI 1154857969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in CO · TL.0009741
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 ListedSurgeryTaxonomy 208600000X · License 57832 (AZ), R76281 (AZ)
12631 E 17TH AVE, Aurora, CO 80045

Secondary Practice Locations 2

Location 15777 E Mayo BlvdPhoenix, AZ 85054-4502 · Phone (480) 342-2000
Location 213400 E Shea BlvdScottsdale, AZ 85259-5452 · Phone (480) 301-8000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jacob Hammond 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.

Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Internal Medicine
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045

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 Hammond's NPI number?

The NPI number for Jacob Hammond is 1154857969. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Jacob Hammond located?

Jacob Hammond practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 724-2750.

What is Jacob Hammond'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 Hammond enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Hammond was last updated on July 1, 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.