JACOB VADAKEKALAM MD
NPI 1316904139
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Antonio, TX

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
93.33/100
CMS Quality Rating
5107 MEDICAL DR, SAN ANTONIO, TX 78229(210) 614-8612(210) 615-1666 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Vadakekalam Md NPPES

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

JACOB VADAKEKALAM MD (NPI 1316904139) is an individual endocrinology, diabetes & metabolism provider in San Antonio, Texas, licensed in Texas (K9443) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1316904139
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameJACOB VADAKEKALAMCredential: MD
Location Address5107 MEDICAL DRSan Antonio, TX 78229
Mailing Address5107 Medical DrSan Antonio, TX 78229 · (210) 614-8612 · Fax (210) 615-1666
Fax(210) 615-1666
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateApril 26, 2006
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
NPI 1316904139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in TX · K9443
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
5107 MEDICAL DR, San Antonio, TX 78229

Other Identifiers 1

Medicaid042891401TX

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 and accepts Medicare assignment

Jacob Vadakekalam Md 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 ID4587551767
PECOS Enrollment IDI20061213000564
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.

Areas of Expertise CMS Part B claims 50

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
2,102 services897 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
2,024 services811 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,737 services812 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
1,534 services707 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
1,350 services679 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
1,328 services628 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost72.21

Reported Quality Measures

Advance Care Plan
80%1,872 patients4/55-star benchmark: 100%
Cervical Cancer Screening
42%1,557 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
6%523 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
61%2,865 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
84%2,111 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
29%2,189 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
8%2,190 patients5/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%9,686 patients5/55-star benchmark: 100%
e-Prescribing
97%6,738 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
13%1,803 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
46%4,335 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%3,844 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 3,406 patients
Patients screened: 98% · 3,406 patients
35%172 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
88%3,331 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%2,289 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,913 patients
Patients totalRate: 12% · 1,913 patients
12%1,913 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers58 claims734 services$18.14 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers51 claims1,570 services$2.31 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers44 claims44 services$174.07 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
42 suppliers82 claims348 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
24 suppliers41 claims60 services$1.07 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers81 claims81 services$308.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Registered Nurse
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Dietitian, Registered
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nutritionist (Nutrition, Education)
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5107 MEDICAL DR
SAN ANTONIO, TX 78229

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 Vadakekalam's NPI number?

The NPI number for Jacob Vadakekalam is 1316904139. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Jacob Vadakekalam located?

Jacob Vadakekalam practices at 5107 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 614-8612.

What is Jacob Vadakekalam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jacob Vadakekalam enrolled in Medicare?

Yes. Jacob Vadakekalam 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.

What insurance does Jacob Vadakekalam accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Jacob Vadakekalam 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 Jacob Vadakekalam was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.