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JACOB ROSHANMANESH
NPI 1427475516
Radiology - Diagnostic Radiology in Mishawaka, IN

Active since March 26, 2014
620 W EDISON RD STE 110, MISHAWAKA, IN 46545(574) 258-1100 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Roshanmanesh NPPES

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

JACOB ROSHANMANESH (NPI 1427475516) is an individual diagnostic radiology provider in Mishawaka, Indiana, licensed in Indiana (01081681A) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1427475516
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJACOB ROSHANMANESH
Location Address620 W EDISON RD STE 110Mishawaka, IN 46545-2784
Mailing Address620 W Edison Rd Ste 110Mishawaka, IN 46545-2784 · (574) 258-1100
Phone(574) 258-1100
Sole ProprietorNo
Enumeration DateMarch 26, 2014
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1427475516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · 01081681A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
620 W EDISON RD STE 110, Mishawaka, IN 46545
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Other Providers at the Same Location NPPES 2

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

NICHOLAS ABEL MD
Radiology (Diagnostic Radiology)
620 W EDISON RD STE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
THOMAS LOWE MD
Radiology (Diagnostic Radiology)
620 W EDISON RD STE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100

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 Roshanmanesh's NPI number?

The NPI number for Jacob Roshanmanesh is 1427475516. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Jacob Roshanmanesh located?

Jacob Roshanmanesh practices at 620 W Edison Rd Ste 110, Mishawaka, IN 46545. The listed phone number is (574) 258-1100.

What is Jacob Roshanmanesh's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jacob Roshanmanesh was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.