Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB HASSELBACH MD
NPI 1669267159
Radiology - Diagnostic Radiology in Chicago, IL

Q: What is Jacob Hasselbach's NPI number?

The NPI number for Jacob Hasselbach is 1669267159. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Q: What is Jacob Hasselbach's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Hasselbach was last updated on June 25, 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 April 14, 2025PECOS Enrolled

1653 W CONGRESS PKWY, CHICAGO, IL 60612(312) 942-5509 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacob Hasselbach Md NPPES

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

JACOB HASSELBACH MD (NPI 1669267159) is an individual diagnostic radiology provider in Chicago, Illinois, licensed in Illinois (125088347) and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669267159

Entity TypeIndividual

Primary Taxonomy2085R0202X

Provider Legal NameJACOB HASSELBACHCredential: MD

Location Address1653 W CONGRESS PKWYChicago, IL 60612-3833

Mailing Address1653 W Congress PkwyChicago, IL 60612-3833

Phone(312) 942-5509

Sole ProprietorNo

Enumeration DateApril 14, 2025

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1669267159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in IL · 125088347

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1653 W CONGRESS PKWY, Chicago, IL 60612

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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)

Jacob Hasselbach 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 60612 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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.

DR. SARAH ELIZABETH RIMAR M.D.

Internal Medicine