DR. JESU JACOB D.O.
NPI 1194990895
Orthopaedic Surgery in Commack, NY
About Dr. Jesu Jacob D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESU JACOB D.O. (NPI 1194990895) is an individual orthopaedic surgery provider in Commack, New York, licensed in New York (235713) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2003).
NPPES Registry Identity
Specialties & Licenses
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. Jesu Jacob D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jesu Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Commack, NY 11725
- Reassigned Medicare billing, New York enrollment
Port Jefferson Station, NY 11776
- Reassigned Medicare billing, New York enrollment
- 9 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ns/Lij Hs Huntington Hospital
Acute Care Hospitals · Huntington, NYSt Catherine Of Siena Hospital Medical Center
Acute Care Hospitals · Smithtown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11725 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jesu Jacob's NPI number?
The NPI number for Jesu Jacob is 1194990895. It was assigned to this individual provider in the NPPES registry on April 24, 2008.
Where is Jesu Jacob located?
Jesu Jacob practices at 66 Harned Rd, Commack, NY 11725. The listed phone number is (631) 670-7800.
What is Jesu Jacob's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Jesu Jacob enrolled in Medicare?
Yes. Jesu 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 Jesu Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesu Jacob reassigns Medicare benefits to 2 organizations: Jesu Jacob, D.O., P.C. (Commack, NY) and Community Medical Wellness PC (Port Jefferson Station, 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 Jesu Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jesu Jacob affiliated with any hospitals?
According to CMS data, Jesu Jacob is affiliated with Ns/Lij Hs Huntington Hospital and St Catherine Of Siena Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Jesu Jacob was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Jesu Jacob, D.O. · NPI 1194990895
Orthopaedic Surgery physician in Commack, New York. Individual provider, active in the CMS NPPES registry since April 24, 2008.
## Identity
- **NPI:** 1194990895 (Entity type: Individual)
- **Enumerated:** April 24, 2008
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 235713 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 66 HARNED RD, Commack, NY 11725-3527
- **Phone:** (631) 670-7800 · **Fax:** (631) 670-7798
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jesu Jacob, D.O., P.C. (NPI 1457630899, Commack, NY); Community Medical Wellness PC (NPI 1073002473, Port Jefferson Station, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2003
## Record status
- **NPPES last updated:** March 3, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1194990895) · Data from the CMS NPPES public registry.