DR. BOBBY MATHEW JACOB M.D.
NPI 1124445275
Internal Medicine - Gastroenterology in Raleigh, NC

Q: What is Bobby Jacob's NPI number?

The NPI number for Bobby Jacob is 1124445275. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Q: What is Bobby Jacob's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Bobby Jacob was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 March 26, 2014PECOS EnrolledAccepts Medicare Assignment

4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-5050 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Bobby Mathew Jacob M.d. NPPES

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

DR. BOBBY MATHEW JACOB M.D. (NPI 1124445275) is an individual gastroenterology provider in Raleigh, North Carolina, licensed in North Carolina (2023-00513) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1124445275

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. BOBBY MATHEW JACOBCredential: M.D.

Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(919) 784-5050

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 26, 2014

Last NPPES UpdateJuly 31, 2023

NPPES CertifiedJuly 31, 2023

✔ NPI 1124445275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in NC · 2023-00513✔ Licensed in IN · 01085787A

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4420 LAKE BOONE TRL, Raleigh, NC 27607

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Secondary Practice Location 1

Location 111104 Parkview Circle Dr Ste 310Fort Wayne, IN 46845-1733 · Phone (260) 266-5230 · Fax (260) 266-5238

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.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

Dr. Bobby Mathew Jacob M.d. 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 ID9739441296

PECOS Enrollment IDI20230814002752

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 Reassignments

Medicare enrollment records show Bobby Jacob reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Carolina Mg, LLC

Same address

Hospitalist

4420 LAKE BOONE TRL
Raleigh, NC 27607

Reassigned Medicare billing, North Carolina enrollment
701 clinicians in this Medicare group

NPI 1215741640 (919) 784-3100

Inwood Community Health Center

427 mi

Clinic/Center

270 LAWRENCE AVE.
Inwood, NY 11096

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Nassau Health Care Corporation
553 clinicians in this Medicare group

NPI 1881619708 (516) 571-7874

Cogent Medical Care PC

462 mi

Internal Medicine

101 HOSPITAL RD
East Patchogue, NY 11772

Reassigned Medicare billing, New York enrollment
640 clinicians in this Medicare group

NPI 1912941238 (631) 687-4131

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 15

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

110 services107 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

44 services41 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

41 services37 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

40 services34 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

29 services23 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

26 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

25 services25 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

24 services24 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

24 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

21 services21 patients

Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242

This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.

16 services16 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

15 services15 patients

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.

15 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

13 services12 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

NADER CYRUS EMAMI-KELISHADI PA

Physician Assistant

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (703) 585-0860

ERIC LINTON

Nurse Anesthetist, Certified Registered

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (919) 784-3100

JOSHUA DAVID FISHER FNP

Nurse Practitioner (Family)

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (919) 784-3100

MALLORY WOLTERING RN

Registered Nurse (Critical Care Medicine)

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (919) 784-3100

JOHN O COLLINS M.D.

Psychiatry & Neurology (Neurology)

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (919) 784-7093

ERIN D RUSINEK PA-C

Physician Assistant

4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607

Wake County (919) 784-6818

DONNA RANSOM CRNA

Nurse Anesthetist, Certified Registered

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (919) 784-3034

JOELLEN C SPECA M.D.

Internal Medicine (Hematology & Oncology)

4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607

Wake County (919) 784-6818

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 Bobby Jacob's NPI number?

The NPI number for Bobby Jacob is 1124445275. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Bobby Jacob located?

Bobby Jacob practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-5050.

What is Bobby Jacob's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Bobby Jacob enrolled in Medicare?

Yes. Bobby 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 Bobby Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bobby Jacob reassigns Medicare benefits to 3 organizations: North Carolina Mg, LLC (Raleigh, NC), Inwood Community Health Center (Inwood, NY) and Cogent Medical Care PC (East Patchogue, NY). 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 Bobby Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bobby Jacob accept?

Health plans from Wellpoint list Bobby Jacob 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 Bobby Jacob affiliated with any hospitals?

According to CMS data, Bobby Jacob is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Bobby Jacob was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.