DR. JACK SHAMOUN MD
NPI 1730497470
Internal Medicine in Kokomo, IN

Q: What is Jack Shamoun's NPI number?

The NPI number for Jack Shamoun is 1730497470. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Q: What is Jack Shamoun's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Shamoun was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 September 15, 2010PECOS EnrolledAccepts Medicare Assignment

1907 W SYCAMORE ST, KOKOMO, IN 46901(765) 456-5433 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Jack Shamoun Md NPPES

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

DR. JACK SHAMOUN MD (NPI 1730497470) is an individual internal medicine provider in Kokomo, Indiana, licensed in Indiana (01070898A) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1730497470

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JACK SHAMOUNCredential: MD

Location Address1907 W SYCAMORE STKokomo, IN 46901-5148

Mailing Address10330 N Meridian St # 300Indianapolis, IN 46290-1024

Phone(765) 456-5433

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 15, 2010

Last NPPES UpdateMarch 27, 2018

✔ NPI 1730497470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IN · 01070898A✔ Licensed in IL · 125055944

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1907 W SYCAMORE ST, Kokomo, IN 46901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Shamoun Md 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 ID42464513

PECOS Enrollment IDI20130208000448

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.

Medicare Billing Reassignment

Medicare enrollment records show Jack Shamoun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincent Physician Services Hospital And Health Care Center

40 mi

Family Medicine

2001 W 86TH ST
Indianapolis, IN 46260

Reassigned Medicare billing, Indiana enrollment
510 clinicians in this Medicare group

NPI 1669422234 (317) 338-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

81 services40 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

33 services33 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

28 services28 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150010

Location1907 W Sycamore StKokomo, IN 46904 · Howard County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46901 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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