JACOB ELI ANDERSON M.D.
NPI 1285088682
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since April 21, 2016PECOS Enrolled
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-4830 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About JACOB ANDERSON

This page provides the complete NPI Profile along with additional information for Jacob Anderson, a primary care provider established in Syracuse, New York with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1285088682 assigned on April 2016. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1285088682 Verify this NPI
Provider Name
JACOB ELI ANDERSON M.D.
Gender
Male
Entity Type
Individual
Location Address
750 E ADAMS ST SYRACUSE, NY 13210
Location Phone
(315) 464-4830
Mailing Address
750 E ADAMS ST SYRACUSE, NY 13210
Is Sole Proprietor?
Yes
Enumeration Date
04-21-2016
Last Update Date
04-21-2016
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A primary care provider (PCP) like Jacob Anderson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Jacob Anderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for JACOB ELI ANDERSON M.D.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Nuclear Medicine
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Physician Assistant (Medical)
750 E ADAMS ST
SYRACUSE, NY 13210
Internal Medicine
750 E ADAMS ST, PHYSICAL MEDICINE AND REHABILITATION MSG
SYRACUSE, NY 13210
Transplant Surgery
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Nuclear Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Medical Genetics (Clinical Molecular Genetics)
750 E ADAMS ST, CLINICAL PATHOLOGY
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285088682, enumerated as an "individual" on April 21, 2016.

The provider is located at 750 E ADAMS ST SYRACUSE, NY 13210 and the phone number is (315) 464-4830.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.