JACKSON DAVID NAGAMOTO MD
NPI 1356043061
Internal Medicine in Philadelphia, PA

Q: What is Jackson Nagamoto's NPI number?

The NPI number for Jackson Nagamoto is 1356043061. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Jackson Nagamoto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Nagamoto was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 20, 2023PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-1622 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2026, Mar 20, 2023 (2 updates tracked since 2023).

On this page

About Jackson David Nagamoto Md NPPES

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

JACKSON DAVID NAGAMOTO MD (NPI 1356043061) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD493254) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Univ Of Central Florida, College Of Medicine (2023).

NPPES Registry Identity

NPI1356043061

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJACKSON DAVID NAGAMOTOCredential: MD

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105

Phone(215) 707-1622

Sole ProprietorYes

Medical School CMSUniv Of Central Florida, College Of MedicineGraduated 2023

Enumeration DateMarch 20, 2023

Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1356043061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD493254

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3401 N BROAD ST, Philadelphia, PA 19140

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson David Nagamoto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870068471

PECOS Enrollment IDI20260410003905

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 19140 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 20

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

DR. JAMIE L. GARFIELD MD

Internal Medicine