DR. JACOB ALEXANDER RESHETAR MD
NPI 1780326652
Emergency Medicine in Peoria, IL
About Dr. Jacob Alexander Reshetar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB ALEXANDER RESHETAR MD (NPI 1780326652) is an individual emergency medicine provider in Peoria, Illinois, licensed in Arizona (74729) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Jacob Alexander Reshetar 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marietta Memorial Hospital
Acute Care Hospitals · Marietta, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
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 Reshetar's NPI number?
The NPI number for Jacob Reshetar is 1780326652. It was assigned to this individual provider in the NPPES registry on April 11, 2022.
Where is Jacob Reshetar located?
Jacob Reshetar practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.
What is Jacob Reshetar's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jacob Reshetar enrolled in Medicare?
Yes. Jacob Reshetar 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.
Is Jacob Reshetar affiliated with any hospitals?
According to CMS data, Jacob Reshetar is affiliated with Marietta Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Reshetar was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jacob Alexander Reshetar, MD · NPI 1780326652
Emergency Medicine physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since April 11, 2022.
## Identity
- **NPI:** 1780326652 (Entity type: Individual)
- **Enumerated:** April 11, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 74729 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 NE GLEN OAK AVE, Peoria, IL 61637-0001
- **Phone:** (309) 655-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780326652) · Data from the CMS NPPES public registry.