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

Jacob Blotter, MD

Individual provider Diagnostic Radiology Physician · NPI 1588282396

Jacob Blotter, MD is a Diagnostic Radiology in Jber, Alaska. Qualified in 2020, 6 years ago. Practices with Radia Inc P S, a 274-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
6
Licensed in
AK
In the registry since
2020
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

673 Mdg 5955 Zeamer Ave
Jber, AK 99506
Phone: (907) 580-6334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 233576 (AK)

Record details

NPI number1588282396
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2020
Last updated in NPPESJuly 23, 2025
Certification dateJuly 14, 2025
Mailing address673 Mdg 5955 Zeamer Ave, Jber, AK 99506

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Radia Inc P S — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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