JACOB ROBERT MITCHELL
NPI 1508216813
Radiology - Diagnostic Radiology in Indianapolis, IN

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment
1120 W MICHIGAN ST, GATCH HALL SUITE CL 627, INDIANAPOLIS, IN 46202(330) 807-8029 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2016, Jun 16, 2016 (2 updates tracked since 2016).

About Jacob Robert Mitchell NPPES

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

JACOB ROBERT MITCHELL (NPI 1508216813) is an individual diagnostic radiology provider in Indianapolis, Indiana, licensed in Indiana (11018936A) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2016).

NPPES Registry Identity

NPI1508216813
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJACOB ROBERT MITCHELL
Location Address1120 W MICHIGAN ST, GATCH HALL SUITE CL 627Indianapolis, IN 46202-5209
Mailing Address1120 W Michigan St, Gatch Hall Suite Cl 627Indianapolis, IN 46202-5209 · (330) 807-8029
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2016
Enumeration DateJune 16, 2016
Last NPPES UpdateJune 27, 20162 updates tracked since enumeration
NPI 1508216813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IN · 11018936A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1120 W MICHIGAN ST, Indianapolis, IN 46202

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 and accepts Medicare assignment

Jacob Robert Mitchell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870885478
PECOS Enrollment IDI20211123001461, I20250523002059
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.

Areas of Expertise CMS Part B claims 45

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
418 services400 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
228 services228 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
228 services228 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
191 services188 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
158 services145 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
143 services142 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Wyandot Memorial Hospital

Critical Access Hospitals · Upper Sandusky, OH
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361329
Location885 North Sandusky AvenueUpper Sandusky, OH 43351 · Wyandot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Hospitalist
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Psychiatry & Neurology (Neurology)
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Internal Medicine
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202

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 Mitchell's NPI number?

The NPI number for Jacob Mitchell is 1508216813. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Jacob Mitchell located?

Jacob Mitchell practices at 1120 W Michigan St Gatch Hall Suite Cl 627, Indianapolis, IN 46202. The listed phone number is (330) 807-8029.

What is Jacob Mitchell's specialty?

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

Is Jacob Mitchell enrolled in Medicare?

Yes. Jacob Mitchell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Mitchell accept?

Health plans from CareSource list Jacob Mitchell 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.

Is Jacob Mitchell affiliated with any hospitals?

According to CMS data, Jacob Mitchell is affiliated with Riverside Methodist Hospital, Doctors Hospital, Dublin Methodist Hospital, Avita Ontario and Wyandot Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Mitchell was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.