JACOB F. KALLENBERG
NPI 1093125171
Emergency Medicine in Brockton, MA
About Jacob F. Kallenberg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB F. KALLENBERG (NPI 1093125171) is an individual emergency medicine provider in Brockton, Massachusetts, licensed in Massachusetts (277504) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains a secondary practice location in Weymouth.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Jacob F. Kallenberg 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
4Medicare enrollment records show Jacob Kallenberg reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Abington, MA 02351
- Reassigned Medicare billing, Massachusetts enrollment
- 62 clinicians in this Medicare group
Weymouth, MA 02190
- Reassigned Medicare billing, Massachusetts enrollment
- 671 clinicians in this Medicare group
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 716 clinicians in this Medicare group
Ayer, MA 01432
- Reassigned Medicare billing, Massachusetts enrollment
- 290 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 8
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Shore Hospital
Acute Care Hospitals · South Weymouth, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BROCKTON, MA 02301
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 Kallenberg's NPI number?
The NPI number for Jacob Kallenberg is 1093125171. It was assigned to this individual provider in the NPPES registry on April 29, 2014.
Where is Jacob Kallenberg located?
Jacob Kallenberg practices at 235 N Pearl St, Brockton, MA 02301. The listed phone number is (508) 427-3075.
What is Jacob Kallenberg's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jacob Kallenberg enrolled in Medicare?
Yes. Jacob Kallenberg 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 Jacob Kallenberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Kallenberg reassigns Medicare benefits to 4 organizations: South Shore Health Express, Inc (Abington, MA), Coastal Medical Associates (Weymouth, MA), Bmc Affiliated Physicians, Inc. (Boston, MA) and Steward Emergency Physicians, Inc (Ayer, 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 Jacob Kallenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Kallenberg accept?
Health plans from Taro Health and WellSense Health Plan list Jacob Kallenberg 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 Jacob Kallenberg affiliated with any hospitals?
According to CMS data, Jacob Kallenberg is affiliated with South Shore Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Kallenberg was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jacob F. Kallenberg · NPI 1093125171
Emergency Medicine physician in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since April 29, 2014.
## Identity
- **NPI:** 1093125171 (Entity type: Individual)
- **Enumerated:** April 29, 2014
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 277504 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 235 N PEARL ST, Brockton, MA 02301-1794
- **Phone:** (508) 427-3075
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): South Shore Health Express, Inc (NPI 1215420260, Abington, MA); Coastal Medical Associates (NPI 1932175684, Weymouth, MA); Bmc Affiliated Physicians, Inc. (NPI 1245320910, Boston, MA); Steward Emergency Physicians, Inc (NPI 1780971275, Ayer, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** March 10, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1093125171) · Data from the CMS NPPES public registry.