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DR. JACOB DAVID DEWITT MD
NPI 1750878955
General Practice in Zionsville, IN

Active since April 13, 2018PECOS Enrolled
55 BRENDON WAY STE 300, ZIONSVILLE, IN 46077(317) 447-4532(317) 981-3132 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2026, Jul 24, 2023, Apr 13, 2018 (3 updates tracked since 2018).

About Dr. Jacob David Dewitt Md NPPES

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

DR. JACOB DAVID DEWITT MD (NPI 1750878955) is an individual general practice provider in Zionsville, Indiana, licensed in Indiana (01084348A) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750878955
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JACOB DAVID DEWITTCredential: MD
Location Address55 BRENDON WAY STE 300Zionsville, IN 46077-1955
Mailing Address55 Brendon Way Ste 300Zionsville, IN 46077-1955 · (317) 447-4532 · Fax (317) 981-3132
Phone(317) 447-4532
Fax(317) 981-3132
Sole ProprietorYes
Enumeration DateApril 13, 2018
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1750878955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 01084348A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
55 BRENDON WAY STE 300, Zionsville, IN 46077
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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)

Dr. Jacob David Dewitt 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.

Other Providers at the Same Location NPPES

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

KAREN JOHNSON PA-C
Physician Assistant
55 BRENDON WAY STE 300
ZIONSVILLE, IN 46077
Boone County (317) 498-9834

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 Dewitt's NPI number?

The NPI number for Jacob Dewitt is 1750878955. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Jacob Dewitt located?

Jacob Dewitt practices at 55 Brendon Way Ste 300, Zionsville, IN 46077. The listed phone number is (317) 447-4532.

What is Jacob Dewitt's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jacob Dewitt enrolled in Medicare?

Yes. Jacob Dewitt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Dewitt was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.