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MR. JACOB SHPILBERG
NPI 1164089348
Pediatrics in Louisville, KY

Active since May 23, 2019PECOS Enrolled
500 S PRESTON ST, LOUISVILLE, KY 40202(502) 345-2904 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2024, May 23, 2019 (2 updates tracked since 2019).

About Mr. Jacob Shpilberg NPPES

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

MR. JACOB SHPILBERG (NPI 1164089348) is an individual pediatrics provider in Louisville, Kentucky, licensed in New York (328294) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164089348
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. JACOB SHPILBERG
Location Address500 S PRESTON STLouisville, KY 40202-1702
Mailing Address7019 Breakwater PlProspect, KY 40059-9683 · (502) 345-2904
Phone(502) 345-2904
Sole ProprietorNo
Enumeration DateMay 23, 2019
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1164089348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 328294
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
500 S PRESTON ST, Louisville, KY 40202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jacob Shpilberg 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 Jacob Shpilberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Affiliate Group Of New York PC
655 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

DIVIJA SHARMA
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5193
CAITLIN RAE WESSEL
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5193
ASHLEY-SHAE BENTON
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5193
CHRISTOPHER CRAFTON
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5193
MEGAN LYNN LIBKE
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1499
NICHOLAS JAMES YEAGER MD
Anesthesiology
500 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5193
MR. SHANE MATTHEW HAYDON
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 554-3523
EMMA ELIZABETH FEARON
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5193

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 Shpilberg's NPI number?

The NPI number for Jacob Shpilberg is 1164089348. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Jacob Shpilberg located?

Jacob Shpilberg practices at 500 S Preston St, Louisville, KY 40202. The listed phone number is (502) 345-2904.

What is Jacob Shpilberg's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacob Shpilberg enrolled in Medicare?

Yes. Jacob Shpilberg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Shpilberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Shpilberg reassigns Medicare benefits to Physician Affiliate Group Of New York PC (New York, NY). The 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 Shpilberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Shpilberg was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.