JACOB MICHAEL HAMAKER DO
NPI 1194420422
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Jacob Hamaker's NPI number?

The NPI number for Jacob Hamaker is 1194420422. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Jacob Hamaker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Hamaker was last updated on June 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 04, 2023PECOS Enrolled

5230 E STOP 11 RD STE 250, INDIANAPOLIS, IN 46237(317) 528-8921(317) 528-6916 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2023, Apr 4, 2023 (2 updates tracked since 2023).

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About Jacob Michael Hamaker Do NPPES

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

JACOB MICHAEL HAMAKER DO (NPI 1194420422) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11023127A) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194420422

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACOB MICHAEL HAMAKERCredential: DO

Location Address5230 E STOP 11 RD STE 250Indianapolis, IN 46237-6399

Mailing AddressPo Box 781008Detroit, MI 48278-1008

Phone(317) 528-8921

Fax(317) 528-6916

Sole ProprietorNo

Enumeration DateApril 4, 2023

Last NPPES UpdateJune 9, 20232 updates tracked since enumeration

NPPES CertifiedJune 9, 2023

✔ NPI 1194420422 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

License✔ Licensed in IN · 11023127A

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.

5230 E STOP 11 RD STE 250, Indianapolis, IN 46237

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Other Identifiers 1

Other11023127AIN · License

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 Michael Hamaker 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.

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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.

EMRE COSKUN DO

Student in an Organized Health Care Education/Training Program