JACOB DAVIS
NPI 1407412612
Anesthesiology in Louisville, KY

NPI Status: Active since May 13, 2019

Contact Information

530 S JACKSON ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 562-3000

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  • Individual
  • Male
  • Years of Experience 5
  • Anesthesiology
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JACOB DAVIS

This page provides the complete NPI Profile along with additional information for Jacob Davis, an anesthesiologist established in Louisville, Kentucky with a medical specialization in Anesthesiology and more than 5 years of experience. He graduated from University Of Louisville School Of Medicine in 2021. The healthcare provider is registered in the NPI registry with number 1407412612 assigned on May 2019. The practitioner's primary taxonomy code is 207L00000X with license number TP350 (KY). The provider is registered as an individual and his NPI record was last updated May 2025.

NPI
1407412612
Provider Name
JACOB DAVIS
Gender
Male
Entity Type
Individual
Location Address
530 S JACKSON ST LOUISVILLE, KY 40202
Location Phone
(502) 562-3000
Mailing Address
PO BOX 909 LOUISVILLE, KY 40201
Mailing Phone
(502) 588-0328
Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year
2021
Is Sole Proprietor?
Yes
Enumeration Date
05-13-2019
Last Update Date
05-22-2025
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An anesthesiologist like Jacob Davis manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Location Map

Secondary Locations

  • 500 S Preston St Rm 305
    Louisville, KY 40202
    (502) 852-8696

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
TP350
License State
KY
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Jacob Davis is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jacob Davis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4587173273

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250604000358

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for JACOB DAVIS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407412612
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
240781462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 8 + 1 + 4 + 6 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1407412612 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548264062DR. MAGDY A ABASKARON M.D.
Individual
Radiology (Diagnostic Radiology)530 S JACKSON ST # C07
LOUISVILLE, KY 40202
(502) 582-5875
1346244860 RICHARD L GOLDWIN M.D.
Individual
Radiology (Diagnostic Radiology)530 S JACKSON ST # C07
LOUISVILLE, KY 40202
(502) 582-5875
1508860024 TSUNG YAO HUANG M.D.
Individual
Radiology (Diagnostic Radiology)530 S JACKSON ST # C07
LOUISVILLE, KY 40202
(502) 582-5875
1629072061 PETER C HENTZEN PHD., M.D.
Individual
Radiology (Diagnostic Radiology)530 S JACKSON ST # C07
LOUISVILLE, KY 40202
(502) 852-5875
1093719445 JAMES C REED M.D.
Individual
Radiology (Diagnostic Radiology)530 S JACKSON ST # C07
LOUISVILLE, KY 40202
(502) 852-5875
1174527527 ELVEDIN KULENOVIC M.D.
Individual
Radiology (Diagnostic Radiology)530 S JACKSON ST # C07
LOUISVILLE, KY 40202
(502) 852-5875
1174521793 DONALD L EVANS M.D.
Individual
Radiology (Diagnostic Radiology)530 S JACKSON ST # C07
LOUISVILLE, KY 40202
(502) 852-5875
1518934959 SUSAN GUNN CRNA
Individual
Nurse Anesthetist, Certified Registered530 S JACKSON ST
LOUISVILLE, KY 40202
(502) 852-6901
1629045034DR. STEFAN RAUCH MD
Individual
Anesthesiology530 S JACKSON ST
LOUISVILLE, KY 40202
(502) 852-6901
1528036480DR. RAINER LENHARDT MD
Individual
Anesthesiology530 S JACKSON ST
LOUISVILLE, KY 40202
(502) 852-6910
1386613644 ROCHELLE FARAH CRNA
Individual
Nurse Anesthetist, Certified Registered530 S JACKSON ST
LOUISVILLE, KY 40202
(502) 852-6901
1396714689DR. DAVID DOUGLAS MD
Individual
Anesthesiology530 S JACKSON ST
LOUISVILLE, KY 40202
(520) 852-8266
1043267503UNIVERSITY FAMILY PRACTICE ASSOC. PSC
Organization
Family Medicine530 S JACKSON ST
LOUISVILLE, KY 40202
(502) 562-6503
1396785960 MARY T. BURKHART M.D.
Individual
Anesthesiology530 S JACKSON ST
LOUISVILLE, KY 40202
(502) 852-6901
1528008166UNIVERSITY RADIOLOGICAL ASSOCIATES, PSC
Organization
Radiology (Diagnostic Radiology)530 S JACKSON ST SUITE C07
LOUISVILLE, KY 40202
(502) 852-5875
1386678365UNIVERSITY ORTHOPAEDIC ASSOCIATES
Organization
Orthopaedic Surgery530 S JACKSON ST
LOUISVILLE, KY 40202
(502) 562-6501
1104841055DR. HEIDI M KOENIG MD
Individual
Anesthesiology530 S JACKSON ST
LOUISVILLE, KY 40202
(502) 852-5851
1245255132DR. AUREL NEAMTU MD
Individual
Anesthesiology530 S JACKSON ST
LOUISVILLE, KY 40202
(502) 852-6901
1790702348MS. MARY A DEMURO ARNP
Individual
Nurse Practitioner (Adult Health)530 S JACKSON ST ROOM A3G11
LOUISVILLE, KY 40202
(502) 852-5237
1336168681DR. LINDA F LUCAS MD
Individual
Anesthesiology530 S JACKSON ST
LOUISVILLE, KY 40202
(502) 852-5851

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407412612, enumerated in the NPI registry as an "individual" on May 13, 2019

The provider is located at 530 S Jackson St Louisville, Ky 40202 and the phone number is (502) 562-3000

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 5 years of experience. He graduated from University Of Louisville School Of Medicine in 2021.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on May 13, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.