JACOB POLIAKOFF
NPI 1497334916
Student in an Organized Health Care Education/Training Program in Brooksville, FL

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 592-2756 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Apr 2, 2021 (2 updates tracked since 2021).

About Jacob Poliakoff NPPES

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

JACOB POLIAKOFF (NPI 1497334916) is an individual student in an organized health care education/training program in Brooksville, Florida and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497334916
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB POLIAKOFF
Location Address11375 CORTEZ BLVDBrooksville, FL 34613-5409
Mailing Address11375 Cortez BlvdBrooksville, FL 34613-5409
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 2, 2021
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
NPI 1497334916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11375 CORTEZ BLVD, Brooksville, FL 34613

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 Poliakoff 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 ID840727426
PECOS Enrollment IDI20241219004487
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.

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.

Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Nurse Practitioner (Family)
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Anesthesiology
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Student in an Organized Health Care Education/Training Program
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
General Acute Care Hospital
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Pathology (Anatomic Pathology & Clinical Pathology)
11375 CORTEZ BLVD, OAK HILL HOSPITAL
BROOKSVILLE, FL 34613
Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613

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 Poliakoff's NPI number?

The NPI number for Jacob Poliakoff is 1497334916. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Jacob Poliakoff located?

Jacob Poliakoff practices at 11375 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 592-2756.

What is Jacob Poliakoff's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Poliakoff enrolled in Medicare?

Yes. Jacob Poliakoff 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.

When was this NPI record last updated?

The NPPES record for Jacob Poliakoff was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.