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JACOB FUQUA
NPI 1518490499
Internal Medicine - Hematology & Oncology in Louisville, KY

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
4003 KRESGE WAY STE 500, LOUISVILLE, KY 40207(502) 897-1166(502) 928-2988 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2025, Apr 8, 2022, May 20, 2021 and 1 more (4 updates tracked since 2018).

About Jacob Fuqua NPPES

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

JACOB FUQUA (NPI 1518490499) is an individual hematology & oncology provider in Louisville, Kentucky, licensed in Kentucky (60622) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Louisville School Of Medicine (2018).

NPPES Registry Identity

NPI1518490499
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJACOB FUQUA
Location Address4003 KRESGE WAY STE 500Louisville, KY 40207-5603
Mailing Address1901 Campus PlLouisville, KY 40299-2308 · (502) 253-5924 · Fax (502) 489-5750
Phone(502) 897-1166
Fax(502) 928-2988
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2018
Enumeration DateApril 6, 2017
Last NPPES UpdateJune 6, 20254 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1518490499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in KY · 60622
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 29128 (WV)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4003 KRESGE WAY STE 500, Louisville, KY 40207
Open in Google Maps ↗

Other Identifiers 1

Medicaid7101057390KY

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 Fuqua 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 ID2365794369
PECOS Enrollment IDI20250620003534
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.

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers28 claims28 services$18.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers41 claims41 services$94.20 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. ALEXANDRA LIBERTO PHARMD, BCOP
Pharmacist (Oncology)
4003 KRESGE WAY STE 500
LOUISVILLE, KY 40207
Jefferson County (502) 721-6044
DR. MARY HELEN DAVIS M.D.
Psychiatry & Neurology (Psychiatry)
4003 KRESGE WAY STE 500
LOUISVILLE, KY 40207
Jefferson County (502) 897-1166
MOUNIKA MANDADI M.D.
Internal Medicine (Hematology & Oncology)
4003 KRESGE WAY STE 500
LOUISVILLE, KY 40207
Jefferson County (502) 897-1166
DR. MAGGIE MILLAY PHARMD
Pharmacist (Oncology)
4003 KRESGE WAY STE 500
LOUISVILLE, KY 40207
Jefferson County (502) 721-6044
WANGJIAN ZHONG MD PHD
Internal Medicine (Hematology & Oncology)
4003 KRESGE WAY STE 500
LOUISVILLE, KY 40207
Jefferson County (502) 897-1166
CHRISTINA HALL APRN
Nurse Practitioner
4003 KRESGE WAY STE 500
LOUISVILLE, KY 40207
Jefferson County (502) 897-1166
JANNA KAUFMAN
Pharmacist (Oncology)
4003 KRESGE WAY STE 500
LOUISVILLE, KY 40207
Jefferson County (502) 721-6044
ASHLEY BOLGER APRN
Nurse Practitioner (Family)
4003 KRESGE WAY STE 500
LOUISVILLE, KY 40207
Jefferson County (502) 897-1166

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 Fuqua's NPI number?

The NPI number for Jacob Fuqua is 1518490499. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Jacob Fuqua located?

Jacob Fuqua practices at 4003 Kresge Way Ste 500, Louisville, KY 40207. The listed phone number is (502) 897-1166.

What is Jacob Fuqua's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Jacob Fuqua enrolled in Medicare?

Yes. Jacob Fuqua 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.

Is Jacob Fuqua affiliated with any hospitals?

According to CMS data, Jacob Fuqua is affiliated with Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Jacob Fuqua was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.