JACOB HARTUNG MD
NPI 1649752171
Pediatrics in San Diego, CA

Q: What is Jacob Hartung's NPI number?

The NPI number for Jacob Hartung is 1649752171. It was assigned to this individual provider in the NPPES registry on August 31, 2018.

Q: What is Jacob Hartung's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Hartung was last updated on March 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 31, 2018PECOS Enrolled

3020 CHILDRENS WAY # MC5124, SAN DIEGO, CA 92123(858) 966-6764 Get Directions Write a Review

NPPES record last updated: March 18, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 18, 2023, Apr 2, 2020, Mar 24, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Jacob Hartung Md NPPES

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

JACOB HARTUNG MD (NPI 1649752171) is an individual pediatrics provider in San Diego, California, licensed in California (PTL4198) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649752171

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJACOB HARTUNGCredential: MD

Location Address3020 CHILDRENS WAY # MC5124San Diego, CA 92123-4223

Mailing Address3020 Childrens Way # Mc5124San Diego, CA 92123-4223 · (858) 966-6764

Phone(858) 966-6764

Sole ProprietorNo

Enumeration DateAugust 31, 2018

Last NPPES UpdateMarch 18, 20234 updates tracked since enumeration

NPPES CertifiedMarch 18, 2023

✔ NPI 1649752171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · PTL4198

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

3020 CHILDRENS WAY # MC5124, San Diego, CA 92123

Open in Google Maps ↗

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 Hartung 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

EMILY BONTRAGER MD

Student in an Organized Health Care Education/Training Program