Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MRIDULA A JACOB M.D.
NPI 1023491701
Allergy & Immunology in New Hartford, NY

Q: What is Mridula Jacob's NPI number?

The NPI number for Mridula Jacob is 1023491701. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Q: What is Mridula Jacob's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Mridula Jacob was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment

1729 BURRSTONE RD, NEW HARTFORD, NY 13413(315) 798-1434(315) 798-1461 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Jul 11, 2024, Jun 19, 2024 and 2 more (5 updates tracked since 2019).

On this page

About Dr. Mridula A Jacob M.d. NPPES

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

DR. MRIDULA A JACOB M.D. (NPI 1023491701) is an individual allergy & immunology provider in New Hartford, New York, licensed in New York (295165) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023491701

Entity TypeIndividualFemale

Primary Taxonomy207K00000X

Provider Legal NameDR. MRIDULA A JACOBCredential: M.D.

Location Address1729 BURRSTONE RDNew Hartford, NY 13413-1001

Mailing Address1729 Burrstone RdNew Hartford, NY 13413-1001 · (315) 798-1434 · Fax (315) 798-1461

Phone(315) 798-1434

Fax(315) 798-1461

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 30, 2015

Last NPPES UpdateOctober 7, 20265 updates tracked since enumeration

NPPES CertifiedOctober 7, 2026

✔ NPI 1023491701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in NY · 295165

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 295165 (NY)

1729 BURRSTONE RD, New Hartford, NY 13413

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mridula A Jacob M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507116324

PECOS Enrollment IDI20180829000449

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Mridula Jacob reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Slocum Dickson Medical Group PLLC

0.2 mi

Clinic/Center

1729 BURRSTONE RD
New Hartford, NY 13413

Reassigned Medicare billing, New York enrollment
68 clinicians in this Medicare group

NPI 1285625996 (315) 798-1700

St Josephs Medical PC

45 mi

Family Medicine

5100 W TAFT RD
Liverpool, NY 13088

Reassigned Medicare billing, New York enrollment
625 clinicians in this Medicare group

NPI 1942501747 (315) 452-2828

Berkshire Medical Center, Inc

112 mi

General Acute Care Hospital

725 NORTH ST
Pittsfield, MA 01201

Reassigned Medicare billing, Massachusetts enrollment
394 clinicians in this Medicare group

NPI 1295765261 (413) 447-2000

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

1,520 services24 patients

Test for allergy using allergenic extract injected into skin 95024

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

649 services21 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

128 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

28 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330215

Location1500 North James StreetRome, NY 13440 · Oneida County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$10.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN LUTHERN PA

Physician Assistant (Medical)

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1859

AMELA THOMPSON

Nurse Practitioner (Family)

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1808

MS. KAREN WARNER NP

Nurse Practitioner

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1543

DR. DAYAL DAVIS RAJA M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1729 BURRSTONE RD, SLOCUM-DICKSON MEDICAL GROUP
NEW HARTFORD, NY 13413

Oneida County (315) 798-1700

MELANIE PADMANABHAN FNP

Nurse Practitioner (Family)

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1551

MICHAEL JOSEPH MCNULTY M.D.

Pain Medicine (Pain Medicine)

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1747

DR. GAIL JOHNSON M.D.

Internal Medicine

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1700

SUZANNE W BUSCHOR PT

Physical Therapist

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1700

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 Mridula Jacob's NPI number?

The NPI number for Mridula Jacob is 1023491701. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Mridula Jacob located?

Mridula Jacob practices at 1729 Burrstone Rd, New Hartford, NY 13413. The listed phone number is (315) 798-1434.

What is Mridula Jacob's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Mridula Jacob enrolled in Medicare?

Yes. Mridula Jacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mridula Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mridula Jacob reassigns Medicare benefits to 3 organizations: Slocum Dickson Medical Group PLLC (New Hartford, NY), St Josephs Medical PC (Liverpool, NY) and Berkshire Medical Center, Inc (Pittsfield, MA). Each 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 Mridula Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mridula Jacob accept?

Health plans from Taro Health list Mridula Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mridula Jacob affiliated with any hospitals?

According to CMS data, Mridula Jacob is affiliated with Wynn Hospital and Rome Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Mridula Jacob was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.