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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356606487

Dr. Jacob John Dickinson, MD is an Emergency Medicine in Indianapolis, Indiana. Qualified in 2012, 14 years ago. Practices with Emergency Physicians of Indianapolis, PC, an 18-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
14
Licensed in
IN, MI
In the registry since
2012
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

8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone: (317) 528-8148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01075221A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301100480 (MI)

Record details

NPI number1356606487
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 4, 2012
Last updated in NPPESMarch 24, 2021
Certification dateMarch 18, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Emergency Physicians Of Indianapolis, Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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