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

Jacob Rizkalla, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134784978

Jacob Rizkalla, DPM is a Podiatry in Somerset, Kentucky. Graduated from New York College of Podiatric Medicine in 2019, 7 years ago. Practices with Lake Cumberland Physician Practices LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Trained at
New York College of Podiatric Medicine
Licensed in
KY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

163 Tower Cir
Somerset, KY 42503-3479
Phone: (606) 679-7441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 286833 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134784978
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 7, 2019
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address1 Old Mill Rd Apt 4, New Hope, PA 18938-1311

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Lake Cumberland Physician Practices Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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