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

Dr. Jacob Cooper Deweerth, MD

Individual provider Anesthesiology Physician · NPI 1306265582

Dr. Jacob Cooper Deweerth, MD is an Anesthesiology in Minneapolis, Minnesota. Graduated from University of South Carolina School of Medicine in 2014, 12 years ago. Practices with University Anesthesia Providers LLC, a 332-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Trained at
University of South Carolina School of Medicine
Licensed in
MN
In the registry since
2014
Specialties on file
3
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

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 65497 (MN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 65497 (MN)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 65497 (MN)

Record details

NPI number1306265582
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025
Mailing address1 Veterans Drive, Department Of Rehabilitation And Physical Medicine, Minneapolis, MN 55417-2309

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice University Anesthesia Providers Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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