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

Jacob Thomas Depolo, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1972000800

Jacob Thomas Depolo, MD is an Interventional Radiology in Knoxville, Tennessee. Graduated from Jc Edwards School of Medicine, Marshall University in 2018, 8 years ago. Practices with Vista Radiology, PC, a 67-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
TN
In the registry since
2018
Specialties on file
2
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

2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Phone: (865) 766-6870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 64086 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972000800
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2018
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 2018 (8 years in practice)
Group practice Vista Radiology, Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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