SUZANNE JACOB MD
NPI 1255867057
Pediatrics in Waco, TX

Active since May 11, 2017PECOS Enrolled
2201 MACARTHUR DR STE 103, WACO, TX 76708(254) 313-5300(254) 313-5399 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 28, 2020, May 11, 2017 (2 updates tracked since 2017).

About Suzanne Jacob Md NPPES

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

SUZANNE JACOB MD (NPI 1255867057) is an individual pediatrics provider in Waco, Texas, licensed in Texas (S8578) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Loma Linda.

NPPES Registry Identity

NPI1255867057
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUZANNE JACOBCredential: MD
Location Address2201 MACARTHUR DR STE 103Waco, TX 76708-3159
Mailing Address1600 Providence DrWaco, TX 76707-2261 · (254) 313-4200 · Fax (254) 313-4549
Fax(254) 313-5399
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
NPI 1255867057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · S8578
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.

2201 MACARTHUR DR STE 103, Waco, TX 76708

Secondary Practice Location 1

Location 111234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 558-2828

Accepted 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)

Suzanne Jacob Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76708 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

Pediatrics
2201 MACARTHUR DR STE 103
WACO, TX 76708

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255867057, enumerated as an "individual" on May 11, 2017.

The provider is located at 2201 MACARTHUR DR STE 103 WACO, TX 76708 and the phone number is (254) 313-5300.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.