DR. SHUSHAN JACOB MD
NPI 1114119542
Surgery - Surgery of the Hand in North Las Vegas, NV

Q: What is Shushan Jacob's NPI number?

The NPI number for Shushan Jacob is 1114119542. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Q: What is Shushan Jacob's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Q: When was this NPI record last updated?

The NPPES record for Shushan Jacob was last updated on February 27, 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.

Active since August 09, 2007PECOS Enrolled

6900 N PECOS RD, NORTH LAS VEGAS, NV 89086(702) 791-9000 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 27, 2025, Sep 28, 2022, Feb 24, 2022 and 1 more (4 updates tracked since 2020).

On this page

About Dr. Shushan Jacob Md NPPES

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

DR. SHUSHAN JACOB MD (NPI 1114119542) is an individual surgery of the hand provider in North Las Vegas, Nevada, licensed in Texas (N7548) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114119542

Entity TypeIndividualFemale

Primary Taxonomy2086S0105X

Provider Legal NameDR. SHUSHAN JACOBCredential: MD

Location Address6900 N PECOS RDNorth Las Vegas, NV 89086-4400

Mailing Address2140 E Southlake Blvd Ste L-605Southlake, TX 76092-6516 · (267) 408-9036

Phone(702) 791-9000

Sole ProprietorYes

Enumeration DateAugust 9, 2007

Last NPPES UpdateFebruary 27, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1114119542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians

Taxonomy Code2086S0105X

License✔ Licensed in TX · N7548

Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedSurgeryTaxonomy 208600000X · License N7548 (TX)

6900 N PECOS RD, North Las Vegas, NV 89086

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Other Identifiers 2

Medicaid286943004TX

Medicaid286943005TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shushan Jacob Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Shushan Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Southwestern Medical Center At Dallas

583 mi

Internal Medicine

1625 MEDICAL CENTER DR
El Paso, TX 79902

Reassigned Medicare billing, Texas enrollment
5,299 clinicians in this Medicare group

NPI 1235384199 (214) 645-0624

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 4

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.

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.

37 services37 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.

25 services17 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

25 services20 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89086 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

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

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.

Reported Quality Measures

Breast Cancer Screening

0%54 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%53 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

77%26 patients4/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

4%245 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%78 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

17%184 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%184 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

34%244 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 1% · 69 patients

1%69 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 79 patients

Patients totalRate: 0% · 79 patients

0%79 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. JAMES HSIANG WANG MD

Radiology (Vascular & Interventional Radiology)