Doctor profile · Federal record
Dr. Michael Jacob, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Certified Registered Nurse Anesthetist · Indianapolis, IN
- NPI 1508824905
- Accepts Medicare
- 28 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7150 Clearvista Drive
Indianapolis, IN 37043
(317) 621-5890
fax (317) 355-2205 - Mailing address
-
6626 E 75Th St
Indianapolis, IN 462502805
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- July 21, 2015
- Year of graduation
- 1998 — 28 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Indiana #28181433A · Tennessee #103360
- Medicaid (2)
- TN #3628323 · IN #200926510
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508824905. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
370
Distinct HCPCS
5
Medicare allowed
$45,971
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 161 | 161 | $121 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 78 | 78 | $128 | |
00812 |
Anesthesia for exam of colon using an endoscope | 61 | 61 | $98 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 37 | 37 | $151 | |
00320 |
Anesthesia for other procedure on neck area (1 year or older) | 33 | 33 | $150 |
In context: peer comparison
Among 27 peers in this city , average services per provider: 33. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$178
Transactions
10
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $114.70 | |
| Janssen Biotech, Inc. | 4 | $63.45 |
By nature of payment
Frequently asked questions
What is Dr. Michael Jacob's medical specialty?
Dr. Michael Jacob practices Certified Registered Nurse Anesthetist in Indianapolis, IN.
Where does Dr. Michael Jacob practice?
Dr. Michael Jacob practices at 7150 Clearvista Drive, Indianapolis, IN 37043. Office phone: 3176215890.
What is Dr. Michael Jacob's NPI?
Dr. Michael Jacob's National Provider Identifier (NPI) is 1508824905, issued by NPPES.
Does Dr. Michael Jacob accept Medicare assignment?
Yes. Dr. Michael Jacob accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Jacob commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for exam of colon using an endoscope (HCPCS 00812). Source: CMS Medicare Physician & Other Practitioners file.