JACOB K AHDOOT MD INC
NPI 1023230638
Internal Medicine - Nephrology in Irvine, CA

Active since May 03, 2007
15775 LAGUNA CANYON RD, SUITE 220, IRVINE, CA 92618(949) 753-8882(949) 727-3793 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob K Ahdoot Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB K AHDOOT MD INC (NPI 1023230638) is a healthcare organization registered as a nephrology in Irvine, California and active in the NPI registry since May 2007. The organization lists Jacob K Ahdoot, Owner, as its authorized official.

NPPES Registry Identity

NPI1023230638
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameJACOB K AHDOOT MD INC
Location Address15775 LAGUNA CANYON RD, SUITE 220Irvine, CA 92618-3145
Mailing Address15775 Laguna Canyon Rd, Suite 220Irvine, CA 92618-3145 · (949) 753-8882 · Fax (949) 727-3793
Fax(949) 727-3793
Organization SubpartNo
Authorized OfficialJacob K AhdootOwner · (949) 753-8882
Enumeration DateMay 3, 2007
Last NPPES UpdateJune 27, 2014
✔ NPI 1023230638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A46389
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
15775 LAGUNA CANYON RD, Irvine, CA 92618

Other Identifiers 3

OtherP00070549CA · Medicare Railroad Provider#
Medicare PINW19251CA
Medicare UPINF60273CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob K Ahdoot Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacob K Ahdoot MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1952356214
15775 LAGUNA CANYON RD SUITE 220
Irvine, CA 92618
(949) 753-8882
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob K Ahdoot MD Inc's NPI number?

The NPI number for Jacob K Ahdoot MD Inc is 1023230638. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Jacob K Ahdoot MD Inc located?

Jacob K Ahdoot MD Inc is located at 15775 Laguna Canyon Rd Suite 220, Irvine, CA 92618. The listed phone number is (949) 753-8882.

What is Jacob K Ahdoot MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jacob K Ahdoot MD Inc enrolled in Medicare?

Yes. Jacob K Ahdoot MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacob K Ahdoot MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Jacob K Ahdoot MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jacob K Ahdoot MD Inc was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.