JACOB RYAN REISSIG (DO) – Diagnostic Radiology Physician, NPI 1205463106
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for JACOB RYAN REISSIG (DO)
720 W OAK ST STE 201
KISSIMMEE, FL 347414998
Phone:
Type: Mailing
119 MALLARD RD
PERRYSBURG, OH 435512539
Phone: (614) 209-2009
Type: Mailing
2142 N COVE BLVD
PROMEDICA TOLEDO HOSPITAL, DEPARTMENT OF RADIOLOGY
TOLEDO, OH 43606
Phone: (419) 291-5992
Type: Location
395 W 12TH AVE FL 4
COLUMBUS, OH 432101267
Phone: (614) 293-8315
Fax: (614) 293-6935
Type: Location
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-8315
Fax: (614) 293-6935
Type: Mailing
2142 N Cove Blvd
ProMedica Toledo Hospital, Department of Radiology
Toledo, OH 43606
Phone: (419) 291-5992
Type: Location
720 W Oak St Ste 201
Kissimmee, FL 347414998
Phone: (407) 518-3347
Type: Location
395 W 12TH AVE
COLUMBUS, OH 432101267
Phone: (614) 293-8315
Fax: (614) 293-6935
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250602002097 | I | Diagnostic Radiology | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34741)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Nurse Practitioner | CA | |
| Diagnostic Radiology | OH | |
| Nurse Practitioner | OH | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | IL | |
| Interventional Radiology | OH |
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