JACOB JACQUE AHDOOT MD A PROFESSIONAL CORPORATION
NPI 1134419021
Internal Medicine - Nephrology in Los Angeles, CA
About Jacob Jacque Ahdoot Md A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB JACQUE AHDOOT MD A PROFESSIONAL CORPORATION (NPI 1134419021) is a healthcare organization registered as a nephrology in Los Angeles, California and active in the NPI registry since April 2011. The organization lists Jacob Jacque Ahdoot, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Jacque Ahdoot Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacob Jacque Ahdoot MD A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Los Angeles, CA 90033
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jacque Ahdoot MD A Professional Corporation's NPI number?
The NPI number for Jacob Jacque Ahdoot MD A Professional Corporation is 1134419021. It was assigned to this organization in the NPPES registry on April 12, 2011.
Where is Jacob Jacque Ahdoot MD A Professional Corporation located?
Jacob Jacque Ahdoot MD A Professional Corporation is located at 1700 E Cesar E Chavez Ave Suite 3750, Los Angeles, CA 90033. The listed phone number is (310) 741-2329.
What is Jacob Jacque Ahdoot MD A Professional Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Jacob Jacque Ahdoot MD A Professional Corporation enrolled in Medicare?
Yes. Jacob Jacque Ahdoot MD A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jacob Jacque Ahdoot MD A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Jacob Jacque Ahdoot MD A Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jacob Jacque Ahdoot MD A Professional Corporation was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jacob Jacque Ahdoot Md A Professional Corporation · NPI 1134419021
Nephrology organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since April 12, 2011.
## Identity
- **NPI:** 1134419021 (Entity type: Organization)
- **Enumerated:** April 12, 2011
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Jacob Ahdoot, PRESIDENT
## Practice location
- **Address:** 1700 E CESAR E CHAVEZ AVE, SUITE 3750, Los Angeles, CA 90033-2424
- **Phone:** (310) 741-2329
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nephrology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2012
- **Other identifiers:** Medicare PIN FB427A (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1134419021) · Data from the CMS NPPES public registry.