Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack Shamoun, MD

Individual provider Internal Medicine Physician · NPI 1730497470

Dr. Jack Shamoun, MD is an Internal Medicine in Kokomo, Indiana. Qualified in 2006, 20 years ago. Practices with St Vincent Physician Services Hospital and Health Care Center, a 282-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
20
Licensed in
IL, IN
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1907 W Sycamore St
Kokomo, IN 46901-5148
Phone: (765) 456-5433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01070898A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125055944 (IL)

Record details

NPI number1730497470
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2010
Last updated in NPPESMarch 27, 2018
Mailing address10330 N Meridian St # 300, Indianapolis, IN 46290-1024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice St Vincent Physician Services Hospital And Health Care Center — 282 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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