JACOB PEDIATRICS PLLC
NPI 1083059505
Nurse Practitioner - Family in Irving, TX

Active since May 10, 2013CLIA 45D2064337 · Waiver
2308 W GRAUWYLER RD, IRVING, TX 75061(972) 790-8300(972) 790-8985 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Pediatrics Pllc NPPES

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

JACOB PEDIATRICS PLLC (NPI 1083059505), doing business as Jacob Pediatrics And Family Medicine, is a healthcare organization registered as a family in Irving, Texas and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Anita Jacob-parayil, President, as its authorized official.

NPPES Registry Identity

NPI1083059505
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJACOB PEDIATRICS PLLC
Location Address2308 W GRAUWYLER RDIrving, TX 75061-4352
Mailing Address2308 W Grauwyler RdIrving, TX 75061-4352 · (972) 790-8300 · Fax (972) 790-8985
Fax(972) 790-8985
Organization SubpartNo
Authorized OfficialAnita Jacob-parayilPresident · (972) 809-8880
Enumeration DateMay 10, 2013
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1083059505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 685930 (TX)
2308 W GRAUWYLER RD, Irving, TX 75061

Other Names 1

Doing Business AsJacob Pediatrics And Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2064337

Jacobs Pediatrics · Irving, TX
Active · expires Aug 18, 2027
CLIA Number45D2064337
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorAnita Jacob-Parayil
Laboratory Phone(972) 790-8300
Laboratory LocationJacobs Pediatrics2308 W Grauwyler Road, Irving, TX 75061
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
2308 W GRAUWYLER RD
IRVING, TX 75061

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 Pediatrics PLLC's NPI number?

The NPI number for Jacob Pediatrics PLLC is 1083059505. It was assigned to this organization in the NPPES registry on May 10, 2013. The provider is doing business as Jacob Pediatrics and Family Medicine.

Where is Jacob Pediatrics PLLC located?

Jacob Pediatrics PLLC is located at 2308 W Grauwyler Rd, Irving, TX 75061. The listed phone number is (972) 790-8300.

What is Jacob Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Jacob Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2064337) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jacob Pediatrics PLLC accept?

Health plans from WellPoint list Jacob Pediatrics PLLC 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.

When was this NPI record last updated?

The NPPES record for Jacob Pediatrics PLLC was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.