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BENJAMIN JACOB PA-C
NPI 1215337985
Physician Assistant - Medical in Houston, TX

Active since August 29, 2014PECOS Enrolled
6621 FANNIN ST, MC B17320, HOUSTON, TX 77030(832) 824-1000(832) 825-1107 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Jacob Pa-c NPPES

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

BENJAMIN JACOB PA-C (NPI 1215337985) is an individual medical provider in Houston, Texas and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1215337985
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBENJAMIN JACOBCredential: PA-C
Location Address6621 FANNIN ST, MC B17320Houston, TX 77030-2358
Mailing Address6621 Fannin St, Mc B17320Houston, TX 77030-2358 · (832) 824-1000 · Fax (832) 825-1107
Phone(832) 824-1000
Fax(832) 825-1107
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 29, 2014
✔ NPI 1215337985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
6621 FANNIN ST, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Jacob Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769963008
PECOS Enrollment IDI20260224004442
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.

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.

DR. TAKETO BABA M.D.
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1000
ZACHARY FOUGHTY
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1173
ASHIRA MORGAN KLEIN MD
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1000
CINDY ANN MILLER PT
Physical Therapist
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 826-1000
JENNA AUSTIN DAVIS PA-C
Physician Assistant
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (804) 955-7043
RONALD EASLEY M.D.
Anesthesiology
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 824-1000
DENNIS BIER MD
Pediatrics (Pediatric Endocrinology)
6621 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 798-7022
DR. DONALD WILLIAMS PARSONS M.D., PH.D.
Pediatrics (Pediatric Hematology-Oncology)
6621 FANNIN ST, MC 3-3320
HOUSTON, TX 77030
Harris County (832) 822-4556

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 Benjamin Jacob's NPI number?

The NPI number for Benjamin Jacob is 1215337985. It was assigned to this individual provider in the NPPES registry on August 29, 2014.

Where is Benjamin Jacob located?

Benjamin Jacob practices at 6621 Fannin St Mc B17320, Houston, TX 77030. The listed phone number is (832) 824-1000.

What is Benjamin Jacob's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Benjamin Jacob enrolled in Medicare?

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

What insurance does Benjamin Jacob accept?

Health plans from Moda Health Plan, Inc. list Benjamin 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.

When was this NPI record last updated?

The NPPES record for Benjamin Jacob was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.