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Jacob A Nysather, DO

Nephrology Physician in Montgomery, OH · enumerated 2017.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407376312

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Registry record

Entity type Individual (Type 1)
Name Jacob A Nysather
Credential DO
Sex Male
Practice address Montgomery, OH, 45242
Fax (513) 936-4511
Enumeration date Jun 21, 2017
Last updated in NPPES Mar 6, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 0116030769 (VA) Secondary
208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License 34.015521 (OH) Secondary
207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License 34.015521 (OH) 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

Other identifiers

Identifier Type State Issuer
0462231 Medicaid OH -

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.

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Frequently asked questions

What is the NPI number for Jacob Nysather?
The National Provider Identifier (NPI) for Jacob Nysather is 1407376312, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jacob Nysather practice?
The practice location on file with NPPES is in Montgomery, OH. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-06.