MR. JOHN J IACOBUCCI M.D.
NPI 1689761439
Surgery - Plastic and Reconstructive Surgery in Grand Rapids, MI
NPI Status: Active since October 05, 2006
Contact Information
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-1909
Fax: (616) 391-8612
- Individual
- Male
- Surgery
- Plastic and Reconstructive Surgery
- PECOS Enrolled
About JOHN IACOBUCCI
This page provides the complete NPI Profile along with additional information for John Iacobucci, a provider established in Grand Rapids, Michigan with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1689761439 assigned on October 2006. The practitioner's primary taxonomy code is 2086S0122X with license number 4301047493 (MI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1689761439
- Provider Name
- MR. JOHN J IACOBUCCI M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503
- Location Phone
- (616) 391-1909
- Location Fax
- (616) 391-8612
- Mailing Address
- 100 MICHIGAN ST NE # MC-845 GRAND RAPIDS, MI 49503
- Mailing Phone
- (616) 391-1909
- Mailing Fax
- (616) 391-8612
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-05-2006
- Last Update Date
- 06-10-2020
- Code Navigator
Location Map
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
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301047493
- License State
- MI
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3397368 | MEDICAID (05) | MI |
Medicare Participation & PECOS Enrollment Status
John Iacobucci 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
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 MR. JOHN J IACOBUCCI M.D.
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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. | |||||||||
| 1 | 6 | 8 | 9 | 7 | 6 | 1 | 4 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 14 | 6 | 2 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 4 + 6 + 2 + 4 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1689761439 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1740841964 | COURTNEY LAUREN SCHMIDT MD Individual | Orthopaedic Surgery | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 391-6243 |
| 1023417581 | BRYAN D ANDERSON PAC Individual | Physician Assistant (Surgical) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1124090808 | EDWARD T MURPHY MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1134504905 | JENNIFER KEEGSTRA Individual | Nurse Practitioner | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1164949103 | LORIE RADEMACHER NP Individual | Nurse Practitioner | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1316271711 | MATTHEW ROBERT RAUCH PA-C Individual | Physician Assistant | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 885-5000 |
| 1316428253 | SHANNON LORELLE WIERSMA NP Individual | Nurse Practitioner | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1326448341 | LAURA HAIST BOSE PA-C Individual | Physician Assistant (Surgical) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1366006942 | BEENA PHILIP NP Individual | Nurse Practitioner (Gerontology) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1386786044 | WILLIAM M MERHI DO Individual | Internal Medicine (Interventional Cardiology) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 391-9415 |
| 1386970762 | RACHEL ANN ROGERS P.A. Individual | Physician Assistant | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1477525012 | CURTIS MCMANN PA-C Individual | Physician Assistant (Surgical) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1487987715 | KATE HARTMAN PA-C Individual | Physician Assistant | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1578593612 | TOMASZ A TIMEK M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1619156205 | DR. GEOFFREY TAK-KIN LAM M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1700908522 | JUSTIN SHAYNE FANNING MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1720597446 | JUDITH THORNE NP Individual | Nurse Practitioner (Gerontology) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1750508388 | MR. MICHAEL THOMAS BROWN PAC Individual | Physician Assistant (Surgical) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1801388277 | MALLORIE STACIE BLEKA FNP, DNP Individual | Nurse Practitioner (Family) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
| 1801868583 | CHARLES L WILLEKES MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 221 MICHIGAN ST NE STE 300 GRAND RAPIDS, MI 49503 (616) 459-7258 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689761439, enumerated in the NPI registry as an "individual" on October 05, 2006
The provider is located at 221 Michigan St Ne Ste 300 Grand Rapids, Mi 49503 and the phone number is (616) 391-1909
The provider's speciality is Surgery with taxonomy code 2086S0122X with a focus in Plastic and Reconstructive Surgery
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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 October 05, 2006. 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].
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