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JACOB ALAN DAUTEL MD
NPI 1215513742
Surgery in Charlotte, NC

Active since March 23, 2021PECOS Enrolled
1000 BLYTHE BLVD STE 601, CHARLOTTE, NC 28203(704) 355-7874(704) 355-5619 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: May 5, 2026, Mar 23, 2021 (2 updates tracked since 2021).

About Jacob Alan Dautel Md NPPES

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

JACOB ALAN DAUTEL MD (NPI 1215513742) is an individual surgery provider in Charlotte, North Carolina, licensed in North Carolina (2026-00863) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215513742
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJACOB ALAN DAUTELCredential: MD
Location Address1000 BLYTHE BLVD STE 601Charlotte, NC 28203-5812
Mailing Address2630 E 7th St Ste 100Charlotte, NC 28204-4319
Phone(704) 355-7874
Fax(704) 355-5619
Sole ProprietorNo
Enumeration DateMarch 23, 2021
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1215513742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2026-00863
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1000 BLYTHE BLVD STE 601, Charlotte, NC 28203
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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 Alan Dautel 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

JOSHUA SAMUEL CHAIT
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
EMMANUELLE VANESSA CAMILLE
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
NAMRATHA MYLARAPU MD
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
ALYNNA JANELLE WILEY MD
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
MADELEINE SOPHIE SCHLAFLY MD
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
TESSABELLA MICHELINA MAGLIOCHETTI MD
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
ALEX KURTZ MD
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874
WILLIAM RICHARD LORENZ JR.
Surgery
1000 BLYTHE BLVD STE 601
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-7874

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 Dautel's NPI number?

The NPI number for Jacob Dautel is 1215513742. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Jacob Dautel located?

Jacob Dautel practices at 1000 Blythe Blvd Ste 601, Charlotte, NC 28203. The listed phone number is (704) 355-7874.

What is Jacob Dautel's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jacob Dautel enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Dautel was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.