1. Home
  2. Directory
  3. Ohio
  4. New Albany
  5. Physician Assistant
  6. NPI Profile

MR. JACOB HEIDISH PHYSICIAN ASSISTANT
NPI 1700696309
Physician Assistant - Surgical in New Albany, OH

Active since January 07, 2025PECOS EnrolledAccepts Medicare Assignment
5040 FOREST DR STE 300, NEW ALBANY, OH 43054(614) 890-6555 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2025, Jan 7, 2025 (2 updates tracked since 2025).

About Mr. Jacob Heidish Physician Assistant NPPES

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

MR. JACOB HEIDISH PHYSICIAN ASSISTANT (NPI 1700696309) is an individual surgical provider in New Albany, Ohio, licensed in Ohio (50.009220RX) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel New Albany Surgical Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1700696309
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JACOB HEIDISHCredential: PHYSICIAN ASSISTANT
Location Address5040 FOREST DR STE 300New Albany, OH 43054-8166
Mailing Address6480 Harrison Ave Ste 201Cincinnati, OH 45247-7961
Phone(614) 890-6555
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 7, 2025
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1700696309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OH · 50.009220RX
5040 FOREST DR STE 300, New Albany, OH 43054
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., MedMutual, Oscar Health Insurance.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

Mr. Jacob Heidish Physician Assistant 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 ID8527589290
PECOS Enrollment IDI20250311000698
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 2

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

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 14

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

COLIN MAHLON WATSON PA
Physician Assistant
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
HANNAH ROSE RUDEK PA-C
Physician Assistant
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
ALEX WALTER S/OT
Occupational Therapist
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
CAMERON LOWTHER PT
Physical Therapist
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Franklin County (614) 935-9657
ABIGAIL LYNNE NOONAN PA-C
Physician Assistant
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
CHRISTINA MARIE MCINTYRE NP
Nurse Practitioner (Gerontology)
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
SARAH A GHIZZONI PT/OT
Physical Therapist
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Franklin County (614) 890-6555
DANIEL PATRICK PAP MD
Pain Medicine (Interventional Pain Medicine)
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Franklin County (614) 890-6555

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 Heidish's NPI number?

The NPI number for Jacob Heidish is 1700696309. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Jacob Heidish located?

Jacob Heidish practices at 5040 Forest Dr Ste 300, New Albany, OH 43054. The listed phone number is (614) 890-6555.

What is Jacob Heidish's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacob Heidish enrolled in Medicare?

Yes. Jacob Heidish is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Heidish accept?

Health plans from Antidote Health Plan of Ohio, Inc., MedMutual and Oscar Health Insurance list Jacob Heidish 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.

Is Jacob Heidish affiliated with any hospitals?

According to CMS data, Jacob Heidish is affiliated with Mount Carmel New Albany Surgical Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Heidish was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.