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

Jacob R Gillen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952625576

Jacob R Gillen, MD is a General Surgery in Roanoke, Virginia. Graduated from Medical University of South Carolina College of Medicine in 2010, 16 years ago. Practices with Carilion Medical Center, a 951-clinician group and accepts Medicare assignment. Licensed in Michigan and Virginia.

Years since qualifying
16
Trained at
Medical University of South Carolina College of Medicine
Licensed in
MI, VA
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.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Roanoke, VA
Fax: (540) 981-8429

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 0101264407 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301109915 (MI)

Record details

NPI number1952625576
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2010
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roanoke