JACOB GALLAGHER PA-C
NPI 1235012048
Physician Assistant - Medical in Philadelphia, PA

Active since July 29, 2025PECOS EnrolledAccepts Medicare Assignment
3501 N BROAD ST, PHILADELPHIA, PA 19140(800) 836-7536 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Gallagher Pa-c NPPES

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

JACOB GALLAGHER PA-C (NPI 1235012048) is an individual medical provider in Philadelphia, Pennsylvania and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235012048
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB GALLAGHERCredential: PA-C
Location Address3501 N BROAD STPhiladelphia, PA 19140-4147
Mailing Address749 N 25th St Fl 2Philadelphia, PA 19130-2438 · (484) 895-9806
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1235012048 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
3501 N BROAD ST, Philadelphia, PA 19140

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

Jacob Gallagher Pa-c 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 ID6406339464
PECOS Enrollment IDI20260309002506
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

Internal Medicine (Infectious Disease)
3501 N BROAD ST
PHILADELPHIA, PA 19140

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 Gallagher's NPI number?

The NPI number for Jacob Gallagher is 1235012048. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Jacob Gallagher located?

Jacob Gallagher practices at 3501 N Broad St, Philadelphia, PA 19140. The listed phone number is (800) 836-7536.

What is Jacob Gallagher's specialty?

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

Is Jacob Gallagher enrolled in Medicare?

Yes. Jacob Gallagher 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.

Is Jacob Gallagher affiliated with any hospitals?

According to CMS data, Jacob Gallagher is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Gallagher was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.