DR. JACOB SUNG SIK KEUM D.O.
NPI 1215998737
Emergency Medicine - Emergency Medical Services in Keokuk, IA

Active since April 01, 2006PECOS EnrolledAccepts Medicare Assignment
1600 MORGAN ST, KEOKUK, IA 52632(319) 524-7150(319) 524-5317 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2019, Dec 27, 2018, May 16, 2018 (3 updates tracked since 2018).

About Dr. Jacob Sung Sik Keum D.o. NPPES

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

DR. JACOB SUNG SIK KEUM D.O. (NPI 1215998737) is an individual emergency medical services provider in Keokuk, Iowa, licensed in California (20A13246) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2000).

NPPES Registry Identity

NPI1215998737
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. JACOB SUNG SIK KEUMCredential: D.O.
Location Address1600 MORGAN STKeokuk, IA 52632-3497
Mailing AddressPo Box 97Gridley, CA 95948-0097 · (530) 846-9020 · Fax (530) 846-9075
Fax(319) 524-5317
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2000
Enumeration DateApril 1, 2006
Last NPPES UpdateJune 7, 20193 updates tracked since enumeration
NPI 1215998737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in CA · 20A13246
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 227598 (NY)
Also ListedEmergency MedicineTaxonomy 207P00000X · License 03623 (KY), DO-04697 (IA)
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 227598 (NY)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 227598 (NY)
1600 MORGAN ST, Keokuk, IA 52632

Secondary Practice Location 1

Location 1947 Columbus Ave, suite 3BNew York, NY 10025 · Phone (917) 892-9432 · Fax (877) 721-3255

Other Identifiers 1

Medicaid02461874NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Sung Sik Keum D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375538952
PECOS Enrollment IDI20181212000527
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 3

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 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.
215 services203 patients
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.
55 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52632 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 17

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

Home Health
1600 MORGAN ST, 1ST FL CLINICAL STE
KEOKUK, IA 52632
Pathology (Anatomic Pathology & Clinical Pathology)
1600 MORGAN ST
KEOKUK, IA 52632
Physical Therapist
1600 MORGAN ST
KEOKUK, IA 52632
General Acute Care Hospital
1600 MORGAN ST
KEOKUK, IA 52632
Pathology (Medical Microbiology)
1600 MORGAN ST
KEOKUK, IA 52632
Occupational Therapist
1600 MORGAN ST
KEOKUK, IA 52632
Emergency Medicine
1600 MORGAN ST
KEOKUK, IA 52632
Radiology (Diagnostic Radiology)
1600 MORGAN ST
KEOKUK, IA 52632

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 Sung Keum's NPI number?

The NPI number for Jacob Sung Keum is 1215998737. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Where is Jacob Sung Keum located?

Jacob Sung Keum practices at 1600 Morgan St, Keokuk, IA 52632. The listed phone number is (319) 524-7150.

What is Jacob Sung Keum's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Jacob Sung Keum enrolled in Medicare?

Yes. Jacob Sung Keum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacob Sung Keum was last updated on June 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.