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

JACOB ROSKAM
NPI 1497441083
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 17, 2023PECOS Enrolled
7447 W TALCOTT AVE, CHICAGO, IL 60631(773) 792-5155 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Roskam NPPES

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

JACOB ROSKAM (NPI 1497441083) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497441083
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB ROSKAM
Location Address7447 W TALCOTT AVEChicago, IL 60631-3745
Mailing Address7447 W Talcott AveChicago, IL 60631-3745 · (773) 792-5155
Sole ProprietorNo
Enumeration DateApril 17, 2023
Last NPPES UpdateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
NPI 1497441083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
7447 W TALCOTT AVE, Chicago, IL 60631

Accepted Insurance

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 Roskam 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 20

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

Ophthalmology
7447 W TALCOTT AVE, SUITE 406
CHICAGO, IL 60631
Obstetrics & Gynecology
7447 W TALCOTT AVE, SUITE 418
CHICAGO, IL 60631
Nurse Practitioner (Pediatrics)
7447 W TALCOTT AVE, SUITE 269
CHICAGO, IL 60631
Internal Medicine (Cardiovascular Disease)
7447 W TALCOTT AVE, SUITE 222
CHICAGO, IL 60631
Family Medicine
7447 W TALCOTT AVE, STE 308, PROFESSIONAL RESURRECTION BLD
CHICAGO, IL 60631
Family Medicine
7447 W TALCOTT AVE, SUITE 366
CHICAGO, IL 60631
Family Medicine
7447 W TALCOTT AVE
CHICAGO, IL 60631
Family Medicine
7447 W TALCOTT AVE, SUITE 409
CHICAGO, IL 60631

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 Roskam's NPI number?

The NPI number for Jacob Roskam is 1497441083. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Jacob Roskam located?

Jacob Roskam practices at 7447 W Talcott Ave, Chicago, IL 60631. The listed phone number is (773) 792-5155.

What is Jacob Roskam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Roskam enrolled in Medicare?

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

What insurance does Jacob Roskam accept?

Health plans from Medica list Jacob Roskam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Roskam was last updated on July 15, 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.