JACOB EITEL (M.D.) – Diagnostic Radiology Physician, NPI 1023351608

JACOB EITEL (M.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 01074479A (IN). The NPI Number for JACOB EITEL (M.D.) is 1023351608

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JACOB EITEL (M.D.)
NPI
1023351608
Phone
(317) 962-8881
Address
1633 N CAPITOL AVE
Enumeration Date
1 April 2013
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Secondary Phone
8885016087
Graduation Year
2013 (13 years ago)
PAC ID
3274772488
Group Practice PAC ID
1254503345
Professional Enrollment ID
I20190510002072
Address ID
IN460754416WH6208XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

849 DIAGNOSTIC RADIOLOGY in IN

Provider Addresses for JACOB EITEL (M.D.)

  • 1633 N CAPITOL AVE

    METHODIST MEDICAL TOWER, STE 640

    INDIANAPOLIS, IN 462021261

    Phone: (317) 962-8881

    Fax: (317) 962-0838

    Mailing address matches the actual address.

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: 2019-05-10

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190510002072IDiagnostic RadiologyINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71046X-ray of chest, 2 views604583$0
77067Screening mammography493493$0
77063Screening 3d breast mammography493493$0
74177Ct scan of abdomen and pelvis with contrast354334$0
70450Ct scan head or brain without contrast341320$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254503345View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyNY
Diagnostic RadiologyIL
Diagnostic RadiologyIL
-WI
Diagnostic RadiologyIL
Diagnostic RadiologyIN
Diagnostic RadiologyIL
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

What identifier follows JACOB EITEL (M.D.) across health systems?
The NPI 1023351608 uniquely identifies JACOB EITEL (M.D.) in U.S. healthcare data.
Quick check: is JACOB EITEL (M.D.) active?
Public NPPES data shows JACOB EITEL (M.D.) with an active NPI status right now.
What services align with JACOB EITEL (M.D.)'s listing?
JACOB EITEL (M.D.)'s public classification highlights Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JACOB EITEL (M.D.)?
The directory associates JACOB EITEL (M.D.) with Indianapolis, Indiana. Check all listed addresses for suites or satellite offices.
Can I export JACOB EITEL (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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