Individual Healthcare Provider
Jacob Manoj Kitchener, MD
Provider's NPPES record last updated: April 28, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003818733
- Primary Specialty
- Psychiatry & Neurology — Vascular Neurology
- Practice Location
- Springfield, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:01 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychiatry & Neurology
Vascular Neurology
Allopathic & Osteopathic Physicians
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Taxonomy code 2084V0102X Psychiatry & Neurology
Neurology
Allopathic & Osteopathic Physicians
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Taxonomy code 2084N0400XPsychiatry & Neurology
Clinical Neurophysiology
Allopathic & Osteopathic Physicians
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Taxonomy code 2084N0600X
Provider-Reported License Information
- Psychiatry & Neurology (Illinois)
- 036111221
- Psychiatry & Neurology (Ohio)
- 35.086697
- Psychiatry & Neurology (Missouri)
- 2009027338
- Psychiatry & Neurology (Illinois)
- 036111221
- Psychiatry & Neurology (Ohio)
- 35-08-6697-K
Practice Locations
Practice Location
421 N 9th St
Springfield, Illinois 62702
Phone: (217) 757-6868
Additional Practice Location
301 N 8th St
Springfield, Illinois 62701-1041
Phone: (217) 528-7541
Additional Practice Location
3 Saint Elizabeth Blvd
O Fallon, Illinois 62269-1281
Phone: (618) 641-5803
Fax: (618) 607-5116
Additional Practice Location
One Hospital Dr
Columbia, Missouri 65212-0001
Phone: (573) 882-1515
Fax: (573) 884-0070
Additional Practice Location
30 E Apple St Ste 5254a
Dayton, Ohio 45409-2939
Phone: (937) 208-4200
Fax: (937) 208-4205
Record Information
- Enumeration Date
- August 12, 2005
- Provider's NPPES Record Last Updated
- April 28, 2026
- Certification Date
- April 28, 2026
- NPISignal NPPES Dataset
- August 2026
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