JACKSON DAVID NAGAMOTO MD
NPI 1356043061
Hospitalist in Philadelphia, PA
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 hospitalist provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD493254) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and maintains a secondary practice location in Riverside.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jackson David Nagamoto 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.
Medicare Billing Reassignment
Medicare enrollment records show Jackson Nagamoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19140
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, PAPhysician 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.
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.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
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 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.
Where is Jackson Nagamoto located?
Jackson Nagamoto practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-1622.
What is Jackson Nagamoto's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Jackson Nagamoto enrolled in Medicare?
Yes. Jackson Nagamoto 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.
Which organization bills Medicare for Jackson Nagamoto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Nagamoto reassigns Medicare benefits to Temple Faculty Practice Plan Inc (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackson Nagamoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jackson Nagamoto affiliated with any hospitals?
According to CMS data, Jackson Nagamoto is affiliated with Temple University Hospital.
When was this NPI record last updated?
The NPPES record for Jackson Nagamoto was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Jackson David Nagamoto, MD · NPI 1356043061
Hospitalist physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1356043061 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** MD493254 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3401 N BROAD ST, Philadelphia, PA 19140-5103
- **Phone:** (215) 707-1622
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Temple Faculty Practice Plan Inc (NPI 1235611179, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Univ Of Central Florida, College Of Medicine, class of 2023
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356043061) · Data from the CMS NPPES public registry.