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

Jacob Saah Fayiah

Individual provider Family Nurse Practitioner · NPI 1093473100

Jacob Saah Fayiah is a Nurse Practitioner in Indianapolis, Indiana. Graduated from University of Tennessee, Hsc, College of Medicine in 2021, 5 years ago. Practices with Radiology of Indiana P C, a 121-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
IN
In the registry since
2021
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Practice location Address checks out

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Phone: (317) 806-8260
Fax: (317) 806-8296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71011992A (IN)

Record details

NPI number1093473100
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2021
Last updated in NPPESDecember 14, 2024
Certification dateDecember 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Radiology Of Indiana P C — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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