DR. NIDHI SUSANNA JACOB M.D.
NPI 1154611762
Obstetrics & Gynecology in San Jose, CA

Active since April 15, 2011PECOS EnrolledAccepts Medicare Assignment
2400 SAMARITAN DR, SUITE 105/SUITE 203, SAN JOSE, CA 95124(408) 523-3870 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nidhi Susanna Jacob M.d. NPPES

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

DR. NIDHI SUSANNA JACOB M.D. (NPI 1154611762) is an individual obstetrics & gynecology provider in San Jose, California, licensed in California (A 116501) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1154611762
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. NIDHI SUSANNA JACOBCredential: M.D.
Location Address2400 SAMARITAN DR, SUITE 105/SUITE 203San Jose, CA 95124-3910
Mailing Address2350 W. El Camino Real, 2nd FloorMountain View, CA 94040-6203
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 15, 2011
Last NPPES UpdateMarch 30, 2016
NPI 1154611762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · A 116501
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2400 SAMARITAN DR, San Jose, CA 95124

Other Names 1

Former Name (1)Nidhi Jacob

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nidhi Susanna 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 ID42446585
PECOS Enrollment IDI20131112000365
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95124 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

Other Providers at the Same Location NPPES 15

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

Family Medicine
2400 SAMARITAN DR, SUITE 203
SAN JOSE, CA 95124
Internal Medicine (Cardiovascular Disease)
2400 SAMARITAN DR, SUITE 200
SAN JOSE, CA 95124
Family Medicine
2400 SAMARITAN DR, STE 203
SAN JOSE, CA 95124
Audiologist
2400 SAMARITAN DR, SUITE 100
SAN JOSE, CA 95124
Internal Medicine (Cardiovascular Disease)
2400 SAMARITAN DR, SUITE 200
SAN JOSE, CA 95124
Obstetrics & Gynecology
2400 SAMARITAN DR, SUITE 105/SUITE 203
SAN JOSE, CA 95124
Internal Medicine (Interventional Cardiology)
2400 SAMARITAN DR, SUITE 200
SAN JOSE, CA 95124
Internal Medicine (Clinical Cardiac Electrophysiology)
2400 SAMARITAN DR, SUITE 100
SAN JOSE, CA 95124

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 Nidhi Jacob's NPI number?

The NPI number for Nidhi Jacob is 1154611762. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Nidhi Jacob located?

Nidhi Jacob practices at 2400 Samaritan Dr Suite 105/Suite 203, San Jose, CA 95124. The listed phone number is (408) 523-3870.

What is Nidhi Jacob's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nidhi Jacob enrolled in Medicare?

Yes. Nidhi 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.

When was this NPI record last updated?

The NPPES record for Nidhi Jacob was last updated on March 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.