JACOB T JOSEPH MD PC
NPI 1457472391
Family Medicine - Adult Medicine in Fairfax, VA

Active since April 02, 2007
10721 MAIN ST, SUITE 1100, FAIRFAX, VA 22030(703) 273-4762(703) 591-7719 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob T Joseph Md Pc NPPES

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

JACOB T JOSEPH MD PC (NPI 1457472391) is a healthcare organization registered as an adult medicine in Fairfax, Virginia and active in the NPI registry since April 2007. The organization lists Jacob T Joseph, President, as its authorized official.

NPPES Registry Identity

NPI1457472391
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameJACOB T JOSEPH MD PC
Location Address10721 MAIN ST, SUITE 1100Fairfax, VA 22030-6914
Mailing Address10721 Main St, Suite 1100Fairfax, VA 22030-6914 · (703) 273-4762 · Fax (703) 591-7719
Fax(703) 591-7719
Organization SubpartNo
Authorized OfficialJacob T JosephPresident · (703) 273-4762
Enumeration DateApril 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1457472391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in VA · 0101034461
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
10721 MAIN ST, Fairfax, VA 22030

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob T Joseph Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacob T Joseph MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1346332939
10721 MAIN ST SUITE 1100
Fairfax, VA 22030
(703) 273-4762
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 T Joseph MD PC's NPI number?

The NPI number for Jacob T Joseph MD PC is 1457472391. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Jacob T Joseph MD PC located?

Jacob T Joseph MD PC is located at 10721 Main St Suite 1100, Fairfax, VA 22030. The listed phone number is (703) 273-4762.

What is Jacob T Joseph MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Jacob T Joseph MD PC enrolled in Medicare?

Yes. Jacob T Joseph MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacob T Joseph MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jacob T Joseph MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jacob T Joseph MD PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.