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JORDAN JACOBSEN M.D.
NPI 1841646064
Emergency Medicine in Kettering, OH

Active since May 05, 2016PECOS Enrolled
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8166 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2020, Jul 25, 2019, Jan 16, 2019 (3 updates tracked since 2019).

About Jordan Jacobsen M.d. NPPES

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

JORDAN JACOBSEN M.D. (NPI 1841646064) is an individual emergency medicine provider in Kettering, Ohio, licensed in Ohio (35.135028) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1841646064
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJORDAN JACOBSENCredential: M.D.
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address3131 Newmark Dr Ste 220Miamisburg, OH 45342-5400 · (937) 436-4658 · Fax (937) 436-4984
Phone(937) 395-8166
Sole ProprietorYes
Enumeration DateMay 5, 2016
Last NPPES UpdateMay 5, 20203 updates tracked since enumeration
NPPES CertifiedMay 5, 2020
✔ NPI 1841646064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35.135028
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3535 SOUTHERN BLVD, Kettering, OH 45429
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Secondary Practice Locations 10

Location 1100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 458-4700
Location 24000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 384-8791
Location 38701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338
Location 41141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 352-2500
Location 53535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500
Location 6600 W Main StTroy, OH 45373-2928 · Phone (937) 980-7010 · Fax (937) 980-7019
Location 7450 Washington Jackson Rd Ste FEaton, OH 45320-8699 · Phone (937) 456-8376 · Fax (937) 456-8377
Location 8405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3211 · Fax (937) 723-4609
Location 91997 Miamisburg Centerville RdCenterville, OH 45459-3811 · Phone (937) 401-6228 · Fax (937) 401-6447
Location 106147 State Route 122Middletown, OH 45005-5201 · Phone (513) 261-3410 · Fax (513) 261-3419

Accepted Insurance

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

Jordan Jacobsen M.d. 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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
290 services287 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
76 services75 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services46 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

RAGHEED KATKHUDA MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
ANNEMARIE ROSE UNDERWOOD PA-C
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8166
SYLVIA POLENAKOVIK M.D.
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-6665
SUSAN KAY ZANN RNFS
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8608
SWATHI DATLA M.B.B.S.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. LOREN ANN NALLU MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
DR. JEREMY LAWTON CHAPMAN D.O.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. RAHUL RAO DO
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8627

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 Jordan Jacobsen's NPI number?

The NPI number for Jordan Jacobsen is 1841646064. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Where is Jordan Jacobsen located?

Jordan Jacobsen practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8166.

What is Jordan Jacobsen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jordan Jacobsen enrolled in Medicare?

Yes. Jordan Jacobsen is registered in the Medicare PECOS enrollment system.

What insurance does Jordan Jacobsen accept?

Health plans from CareSource list Jordan Jacobsen 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 Jordan Jacobsen was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.