DR. SELVIN SAM JACOB MD
NPI 1073040333
Internal Medicine - Pulmonary Disease in Boston, MA

Q: What is Selvin Jacob's NPI number?

The NPI number for Selvin Jacob is 1073040333. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Q: What is Selvin Jacob's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Selvin Jacob was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 May 17, 2017PECOS EnrolledAccepts Medicare Assignment

15 PARKMAN ST, BOSTON, MA 02114(617) 726-1721 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Aug 15, 2025, May 17, 2017 (3 updates tracked since 2017).

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About Dr. Selvin Sam Jacob Md NPPES

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

DR. SELVIN SAM JACOB MD (NPI 1073040333) is an individual pulmonary disease provider in Boston, Massachusetts, licensed in Massachusetts (1016275) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1073040333

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. SELVIN SAM JACOBCredential: MD

Location Address15 PARKMAN STBoston, MA 02114-2696

Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5000

Phone(617) 726-1721

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 17, 2017

Last NPPES UpdateApril 28, 20263 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1073040333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in MA · 1016275✔ Licensed in RI · MD19461

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT213402 (PA)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD19461 (RI)

15 PARKMAN ST, Boston, MA 02114

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Secondary Practice Locations 5

Location 1230 N Broad StPhiladelphia, PA 19102-1121 · Phone (215) 762-2632

Location 275 Francis StBoston, MA 02115-6110 · Phone (617) 732-5000

Location 3455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546

Location 455 Fruit StreetBoston, MA 02114-2696 · Phone (617) 726-1721

Location 51153 Centre StJamaica Plain, MA 02130-3446 · Phone (617) 983-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Selvin Sam Jacob Md 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 ID5890032668

PECOS Enrollment IDI20230828001701, I20231006002570

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.

Areas of Expertise CMS Part B claims 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

267 services52 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

121 services43 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

61 services52 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.

31 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.

27 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410009

Location455 Toll Gate RdWarwick, RI 02886 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. PATRICIA NOREEN FINNERAN NP-C

Nurse Practitioner (Adult Health)

15 PARKMAN ST, WAC 440
BOSTON, MA 02114

Suffolk County (617) 643-4709

MISS BRYANA CAREY PT, DPT

Physical Therapist

15 PARKMAN ST
BOSTON, MA 02114

Suffolk County (617) 643-4373

DR. WILLIAM ELLIS FALK MD

Psychiatry & Neurology (Geriatric Psychiatry)

15 PARKMAN ST, PSYCHIATRY OUTPATIENT DEPARTMENT WAC 812
BOSTON, MA 02114

Suffolk County (617) 726-5600

MRS. LILIAN DAYAN-CIMADORO PT,DPT,MS,NCS,CLT-LA

Physical Therapist (Neurology)

15 PARKMAN ST, ROOM 134
BOSTON, MA 02114

Suffolk County (617) 724-7484

MS. ANGELA MARY HAUBER DPT

Physical Therapist

15 PARKMAN ST
BOSTON, MA 02114

Suffolk County (617) 726-2962

JACKIE A MULGREW PT

Physical Therapist

15 PARKMAN ST, WACC 134
BOSTON, MA 02114

Suffolk County (617) 726-7487

MS. MARY S KNAB P.T.

Physical Therapist

15 PARKMAN ST
BOSTON, MA 02114

Suffolk County (617) 724-6398

DR. JAMES ELTON GROVES MD

Psychiatry & Neurology (Psychiatry)

15 PARKMAN ST, WAC 8 PSYCHIATRY OUTPATIENT DEPARTMENT
BOSTON, MA 02114

Suffolk County (617) 726-2714

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 Selvin Jacob's NPI number?

The NPI number for Selvin Jacob is 1073040333. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Selvin Jacob located?

Selvin Jacob practices at 15 Parkman St, Boston, MA 02114. The listed phone number is (617) 726-1721.

What is Selvin Jacob's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Selvin Jacob enrolled in Medicare?

Yes. Selvin 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.

Is Selvin Jacob affiliated with any hospitals?

According to CMS data, Selvin Jacob is affiliated with North Shore Medical Center -, Massachusetts General Hospital, Brigham And Women's Hospital and Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Selvin Jacob was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.