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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: October 18, 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
Phone(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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacob Roskam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healtheast Medical Research Institute
325 mi
Clinic/Center
6936 PINE ARBOR DRIVE SOUTH, SUITE 100
Cottage Grove, MN 55016
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1801842729 (651) 326-5800
Fairview Clinics
327 mi
Primary Care
19685 PILOT KNOB RD
Farmington, MN 55024
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1043491749 (651) 463-5100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. JOHN B BELLO M.D.
Ophthalmology
7447 W TALCOTT AVE, SUITE 406
CHICAGO, IL 60631
Cook County (773) 775-9755
ASSOCIATED OBSTETRICIANS & GYNECOLOGISTS
Obstetrics & Gynecology
7447 W TALCOTT AVE, SUITE 418
CHICAGO, IL 60631
Cook County (773) 775-2180
DR. ELIZABETH P DIAZ MD
Nurse Practitioner (Pediatrics)
7447 W TALCOTT AVE, SUITE 269
CHICAGO, IL 60631
Cook County (773) 792-2727
VIJAY H. VOHRA M.D.,S.C.
Internal Medicine (Cardiovascular Disease)
7447 W TALCOTT AVE, SUITE 222
CHICAGO, IL 60631
Cook County (773) 774-5245
BEATA S BEDNARSKA MD PC
Family Medicine
7447 W TALCOTT AVE, STE 308, PROFESSIONAL RESURRECTION BLD
CHICAGO, IL 60631
Cook County (773) 763-7522
KATHRYN SKOLARZ, M.D., S.C.
Family Medicine
7447 W TALCOTT AVE, SUITE 366
CHICAGO, IL 60631
Cook County (773) 594-1410
CONNER MICHAEL LAI MD
Family Medicine
7447 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-5155
DR. BIRGITTA T MCGUIRE MD
Family Medicine
7447 W TALCOTT AVE, SUITE 409
CHICAGO, IL 60631
Cook County (773) 763-3808

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.

Which organizations bill Medicare for Jacob Roskam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Roskam reassigns Medicare benefits to 2 organizations: Healtheast Medical Research Institute (Cottage Grove, MN) and Fairview Clinics (Farmington, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Roskam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 months 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.