Jacob Todd Matulle, DO
Jacob Todd Matulle is a Student in an Organized Health Care Education/Training Program provider (Student in an Organized Health Care Education/Training Program) practicing in Peoria, IL, registered in the NPPES registry with NPI 1295312072 since 2021. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295312072 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jacob Todd Matulle |
| Credential | DO |
| Sex | Male |
| Practice address | 530 NE GLEN OAK AVE, Peoria, IL, 61637 |
| Phone | 3094440129 |
| Enumeration date | 2021-03-26 |
| Last updated in NPPES | 2021-03-26 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | Primary | — | — |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Copy-ready billing details
Provider: Jacob Matulle, DO NPI: 1295312072 Taxonomy: 390200000X (Student in an Organized Health Care Education/Training Program) Address: 530 NE GLEN OAK AVE, Peoria, IL, 61637
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346235777 | Jack Gibson | Individual | Obstetrics & Gynecology Physician | Peoria, IL |
| 1801881446 | Cara Phillips | Individual | Pharmacist | Peoria, IL |
| 1841287588 | Mary Ross | Individual | Pediatric Hematology & Oncology Physician | Peoria, IL |
| 1902883648 | Samir Saxena | Individual | Internal Medicine Physician | Peoria, IL |
| 1326026030 | Clarissa Rhode | Individual | Diagnostic Radiology Physician | Peoria, IL |
| 1487633962 | Robert Mcwilliams | Individual | Medical Oncology Physician | Peoria, IL |
| 1255301909 | University of Illinois | Organization | Internal Medicine Physician | Peoria, IL |
| 1205807187 | University of Illinois | Organization | Pediatric Critical Care Medicine Physician | Peoria, IL |
Verify this record
Cross-check NPI 1295312072 against the authoritative CMS record: view Jacob Todd Matulle on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jacob Matulle?
Where does Jacob Matulle practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-03-26.