JACOB N-B SAMA MD
NPI 1639593775
Internal Medicine in Avon, IN
About Jacob N-b Sama Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB N-B SAMA MD (NPI 1639593775) is an individual internal medicine provider in Avon, Indiana, licensed in Indiana (01088072A) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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 (PECOS)
Jacob N-b Sama Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Sama's NPI number?
The NPI number for Jacob Sama is 1639593775. It was assigned to this individual provider in the NPPES registry on February 10, 2014.
Where is Jacob Sama located?
Jacob Sama practices at 1111 Ronald Reagan Pkwy, Avon, IN 46123. The listed phone number is (317) 217-3649.
What is Jacob Sama's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jacob Sama enrolled in Medicare?
Yes. Jacob Sama is registered in the Medicare PECOS enrollment system.
What insurance does Jacob Sama accept?
Health plans from CareSource list Jacob Sama 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.
When was this NPI record last updated?
The NPPES record for Jacob Sama was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacob N-B Sama, MD · NPI 1639593775
Internal Medicine physician in Avon, Indiana. Individual provider, active in the CMS NPPES registry since February 10, 2014.
## Identity
- **NPI:** 1639593775 (Entity type: Individual)
- **Enumerated:** February 10, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 01088072A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1111 RONALD REAGAN PKWY, Avon, IN 46123-7085
- **Phone:** (317) 217-3649 · **Fax:** (317) 217-3474
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 29, 2023
- **Other identifiers:** Other 068010929 (IN); Medicaid 300069401 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1639593775) · Data from the CMS NPPES public registry.