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JACOB C JOHN MD
NPI 1821435751
Pediatrics - Pediatric Critical Care Medicine in Anchorage, AK

Active since June 02, 2013PECOS Enrolled
3200 PROVIDENCE DR, ANCHORAGE, AK 99508(907) 562-2211 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2024, Jun 19, 2019 (2 updates tracked since 2019).

About Jacob C John Md NPPES

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

JACOB C JOHN MD (NPI 1821435751) is an individual pediatric critical care medicine provider in Anchorage, Alaska, licensed in Alaska (212001) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821435751
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameJACOB C JOHNCredential: MD
Location Address3200 PROVIDENCE DRAnchorage, AK 99508-4615
Mailing Address10840 Vosikof PlAnchorage, AK 99507-6461
Phone(907) 562-2211
Sole ProprietorNo
Enumeration DateJune 2, 2013
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1821435751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in AK · 212001
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License MD60946865 (WA)
Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X · License 212001 (AK)
3200 PROVIDENCE DR, Anchorage, AK 99508
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 C John 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 20

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

ELIZABETH MUMFORD GALLOWAY M.D.
Pediatrics (Pediatric Critical Care Medicine)
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2211
JOHN E HALL MD
Emergency Medicine
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 261-3111
LIBERTY ANN HELGESON RN
Registered Nurse (Emergency)
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 350-6717
VIVIAN NGUYEN PHARMD
Pharmacist
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-8318
MARILYN CUNNINGHAM RD
Dietitian, Registered
3200 PROVIDENCE DR, E TOWER, SUITE 3030
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-7980
DR. NATALIE DAWN HENRY M.D.
Obstetrics & Gynecology
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2211
MS. BARBARA M DELK PHARMACY TECHNICIAN
Pharmacy Technician
3200 PROVIDENCE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 261-2813
ROBERT LADA MD LLC
Psychiatry & Neurology (Neurology)
3200 PROVIDENCE DR, SUITE 248
ANCHORAGE, AK 99508
Anchorage Municipality (907) 261-3650

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 John's NPI number?

The NPI number for Jacob John is 1821435751. It was assigned to this individual provider in the NPPES registry on June 2, 2013.

Where is Jacob John located?

Jacob John practices at 3200 Providence Dr, Anchorage, AK 99508. The listed phone number is (907) 562-2211.

What is Jacob John's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jacob John enrolled in Medicare?

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

What insurance does Jacob John accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Jacob John 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.

When was this NPI record last updated?

The NPPES record for Jacob John was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.