SODARAN P JACOB MD
NPI 1376568717
Hospitalist in Farmington, NM

Q: What is Sodaran Jacob's NPI number?

The NPI number for Sodaran Jacob is 1376568717. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Sodaran Jacob's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Sodaran Jacob was last updated on July 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 13, 2006PECOS Enrolled

801 W MAPLE ST, FARMINGTON, NM 87401(505) 609-6463(505) 609-6474 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Sodaran P Jacob Md NPPES

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

SODARAN P JACOB MD (NPI 1376568717) is an individual hospitalist provider in Farmington, New Mexico, licensed in New Mexico (MD2006-0732) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376568717

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameSODARAN P JACOBCredential: MD

Location Address801 W MAPLE STFarmington, NM 87401-5630

Mailing AddressPo Box 6210Farmington, NM 87499-6210 · (505) 609-2258 · Fax (505) 609-2259

Phone(505) 609-6463

Fax(505) 609-6474

Sole ProprietorNo

Enumeration DateJuly 13, 2006

Last NPPES UpdateJuly 31, 2017

✔ NPI 1376568717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NM · MD2006-0732

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD2006-0732 (NM)

801 W MAPLE ST, Farmington, NM 87401

Open in Google Maps ↗

Other Identifiers 1

Medicaid93733577NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sodaran P 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 87401 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

$126.21 typical visit price

range $54.26 – $166.80

Typical copayment $31.55 (range $13.56 – $41.70)

Most-billed visit code 99204

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier17 claims17 services$14.52 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier17 claims17 services$85.42 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.

MRS. REBECCA JO MUNOZ PTA

Physical Therapy Assistant