DR. SELVIN SAM JACOB MD
NPI 1073040333
Internal Medicine - Pulmonary Disease in Boston, MA
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 Massachusetts General Hospital, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 5
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. 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.
Medicare Billing Reassignments
6Medicare enrollment records show Selvin Jacob reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
Weymouth, MA 02190
- Reassigned Medicare billing, Massachusetts enrollment
- 671 clinicians in this Medicare group
Norwell, MA 02061
- Reassigned Medicare billing, Massachusetts enrollment
- 346 clinicians in this Medicare group
Providence, RI 02905
- Reassigned Medicare billing, Rhode Island enrollment
- 984 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Massachusetts General Hospital
Acute Care Hospitals · Boston, MABrigham And Women's Hospital
Acute Care Hospitals · Boston, MAPhysician 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.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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.
Which organizations bill Medicare for Selvin Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Selvin Jacob reassigns Medicare benefits to 6 organizations: The General Hospital Corporation (Boston, MA), Massachusetts General Physicians Organization Inc (Boston, MA), Brigham & Womens Physicians Organization Inc (Boston, MA), Coastal Medical Associates (Weymouth, MA), South Shore Medical Center, Inc. (Norwell, MA) and 1 more organization, listed in the Medicare section above. 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 Selvin Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Selvin Jacob affiliated with any hospitals?
According to CMS data, Selvin Jacob is affiliated with Massachusetts General Hospital and Brigham And Women's 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 5 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.
# Dr. Selvin Sam Jacob, MD · NPI 1073040333
Pulmonary Disease physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 17, 2017.
## Identity
- **NPI:** 1073040333 (Entity type: Individual)
- **Enumerated:** May 17, 2017
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 1016275 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 15 PARKMAN ST, Boston, MA 02114-2696
- **Phone:** (617) 726-1721
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): The General Hospital Corporation (NPI 1023049236, Boston, MA); Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA); Coastal Medical Associates (NPI 1932175684, Weymouth, MA); South Shore Medical Center, Inc. (NPI 1669411856, Norwell, MA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073040333) · Data from the CMS NPPES public registry.