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

Jacob Robert Mitchell

Individual provider Diagnostic Radiology Physician · NPI 1508216813

Jacob Robert Mitchell is a Diagnostic Radiology in Indianapolis, Indiana. Graduated from Wright State University Boonshoft School of Medicine in 2016, 10 years ago. Practices with Riverside Radiology and Interventional Associates Inc, a 245-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
IN
In the registry since
2016
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Practice location Address checks out

1120 W Michigan St Gatch Hall Ste CL 627
Indianapolis, IN 46202-5209
Phone: (330) 807-8029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 11018936A (IN)

Record details

NPI number1508216813
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2016
Last updated in NPPESJune 27, 2016

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Riverside Radiology And Interventional Associates Inc — 245 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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