JAKE NATHANIEL LICHTERMAN DO
NPI 1588167308
Internal Medicine - Hematology & Oncology in Dallas, TX

Q: What is Jake Lichterman's NPI number?

The NPI number for Jake Lichterman is 1588167308. It was assigned to this individual provider in the NPPES registry on March 18, 2018.

Q: What is Jake Lichterman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jake Lichterman was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since March 18, 2018PECOS EnrolledAccepts Medicare Assignment

6202 HARRY HINES BLVD, DALLAS, TX 75390(214) 645-3999 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2024, Mar 18, 2018 (2 updates tracked since 2018).

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About Jake Nathaniel Lichterman Do NPPES

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

JAKE NATHANIEL LICHTERMAN DO (NPI 1588167308) is an individual hematology & oncology provider in Dallas, Texas, licensed in Texas (S5686) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2018).

NPPES Registry Identity

NPI1588167308

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameJAKE NATHANIEL LICHTERMANCredential: DO

Location Address6202 HARRY HINES BLVDDallas, TX 75390-7201

Mailing AddressPo Box 845347Dallas, TX 75284-7208

Phone(214) 645-3999

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 18, 2018

Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1588167308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in TX · S5686

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6202 HARRY HINES BLVD, Dallas, TX 75390

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Jake Nathaniel Lichterman Do 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 ID1052846953

PECOS Enrollment IDI20241202002873

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

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

Ut Southwestern University Hospital - William P. Clements Jr.

Acute Care Hospitals · Dallas, TX

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450044

Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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

$172.86 typical visit price

range $57.18 – $172.86

Typical copayment $43.21 (range $14.29 – $43.21)

Most-billed visit code 99205

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

Other Providers at the Same Location NPPES 18

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

SHAHROUZ SHOGHI PHARMD

Pharmacist (Oncology)