Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACOB SHERMETARO DO
NPI 1295350718
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Kalamazoo, MI

Q: What is Jacob Shermetaro's NPI number?

The NPI number for Jacob Shermetaro is 1295350718. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Q: What is Jacob Shermetaro's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Shermetaro was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.

Active since June 10, 2020PECOS Enrolled

2490 S 11TH ST, KALAMAZOO, MI 49009(269) 343-1535 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 8, 2026, May 5, 2025, Jun 10, 2020 (3 updates tracked since 2020).

On this page

About Dr. Jacob Shermetaro Do NPPES

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

DR. JACOB SHERMETARO DO (NPI 1295350718) is an individual adult reconstructive orthopaedic surgery provider in Kalamazoo, Michigan, licensed in Michigan (5101029452) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295350718

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. JACOB SHERMETAROCredential: DO

Location Address2490 S 11TH STKalamazoo, MI 49009-2175

Mailing Address2490 S 11th St Ste 201Kalamazoo, MI 49009-2175 · (269) 343-1535

Phone(269) 343-1535

Sole ProprietorYes

Enumeration DateJune 10, 2020

Last NPPES UpdateSeptember 8, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ NPI 1295350718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in MI · 5101029452

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 5151014547 (MI), 335727 (NY)

2490 S 11TH ST, Kalamazoo, MI 49009

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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)

Dr. Jacob Shermetaro 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.

Other Providers at the Same Location NPPES 16

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

CARRIE JOY STRONG OTR

Occupational Therapist

2490 S 11TH ST
KALAMAZOO, MI 49009

Kalamazoo County (269) 375-9450

BRIANNA BETHANY LAIRD DPT

Physical Therapist

2490 S 11TH ST, SUITE 8
KALAMAZOO, MI 49009

Kalamazoo County (269) 372-0436

DR. WILLIAM M UGGEN MD

Orthopaedic Surgery

2490 S 11TH ST, SUITE 201
KALAMAZOO, MI 49009

Kalamazoo County (269) 343-1535

DR. TODD L. REAM MD

Orthopaedic Surgery

2490 S 11TH ST, SUITE 201
KALAMAZOO, MI 49009

Kalamazoo County (269) 343-1535

KELLI RENEE POUND FNP

Nurse Practitioner

2490 S 11TH ST
KALAMAZOO, MI 49009

Kalamazoo County (269) 343-1535

TONYA LYNN JAZAYERI SLP

Speech-Language Pathologist

2490 S 11TH ST, SUITE 8
KALAMAZOO, MI 49009

Kalamazoo County (269) 375-9450

DR. DAVID LEE MAYOR II M.D.

Orthopaedic Surgery (Hand Surgery)

2490 S 11TH ST
KALAMAZOO, MI 49009

Kalamazoo County (269) 343-1535

DR. CAMERON JAY VANLANINGHAM MD

Orthopaedic Surgery

2490 S 11TH ST, SUITE 201
KALAMAZOO, MI 49009

Kalamazoo County (269) 343-1535

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 Shermetaro's NPI number?

The NPI number for Jacob Shermetaro is 1295350718. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Jacob Shermetaro located?

Jacob Shermetaro practices at 2490 S 11th St, Kalamazoo, MI 49009. The listed phone number is (269) 343-1535.

What is Jacob Shermetaro's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Jacob Shermetaro enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Shermetaro was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.