JACOB TILMON MD
NPI 1922688183
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Jacob Tilmon's NPI number?

The NPI number for Jacob Tilmon is 1922688183. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Q: What is Jacob Tilmon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Tilmon was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 12, 2021PECOS Enrolled

720 ESKENAZI AVE RM F2-163, INDIANAPOLIS, IN 46202(317) 278-5835(317) 880-3602 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacob Tilmon Md NPPES

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

JACOB TILMON MD (NPI 1922688183) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922688183

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACOB TILMONCredential: MD

Location Address720 ESKENAZI AVE RM F2-163Indianapolis, IN 46202-5187

Mailing Address720 Eskenazi Ave Rm F2-163Indianapolis, IN 46202-5187 · (317) 278-5835 · Fax (317) 880-3602

Phone(317) 278-5835

Fax(317) 880-3602

Sole ProprietorNo

Enumeration DateApril 12, 2021

NPPES CertifiedApril 12, 2021

✔ NPI 1922688183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

720 ESKENAZI AVE RM F2-163, Indianapolis, IN 46202

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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)

Jacob Tilmon 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.

JENNA JONES