Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WADY JACOBY MD
NPI 1538086236
Student in an Organized Health Care Education/Training Program in Augusta, ME

Q: What is Wady Jacoby's NPI number?

The NPI number for Wady Jacoby is 1538086236. It was assigned to this individual provider in the NPPES registry on July 2, 2026.

Q: What is Wady Jacoby's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wady Jacoby was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.

Active since July 02, 2026PECOS Enrolled

15 E CHESTNUT ST, AUGUSTA, ME 04330(207) 626-1561(207) 626-1849 Get Directions Write a Review

NPPES record added: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wady Jacoby Md NPPES

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

WADY JACOBY MD (NPI 1538086236) is an individual student in an organized health care education/training program in Augusta, Maine, licensed in Maine (EC261119) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538086236

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameWADY JACOBYCredential: MD

Location Address15 E CHESTNUT STAugusta, ME 04330-5736

Mailing Address15 E Chestnut StAugusta, ME 04330-5736 · (207) 626-1561 · Fax (207) 626-1849

Phone(207) 626-1561

Fax(207) 626-1849

Sole ProprietorNo

Enumeration DateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1538086236 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

License✔ Licensed in ME · EC261119

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.

15 E CHESTNUT ST, Augusta, ME 04330

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wady Jacoby Md 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.

KATHARINE M K ANDERSON MD

Family Medicine