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ELIZABETH JACOB
NPI 1619408234
Surgery in Latham, NY

Active since March 24, 2017PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
6 WELLNESS WAY STE G03, LATHAM, NY 12110(518) 785-5884 Get Directions Write a Review

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

Record update history: Sep 30, 2024, Jul 7, 2023, Mar 24, 2017 (3 updates tracked since 2017).

About Elizabeth Jacob NPPES

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

ELIZABETH JACOB (NPI 1619408234) is an individual surgery provider in Latham, New York, licensed in New York (298555) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2017).

NPPES Registry Identity

NPI1619408234
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameELIZABETH JACOB
Location Address6 WELLNESS WAY STE G03Latham, NY 12110-2135
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 785-5884
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2017
Enumeration DateMarch 24, 2017
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1619408234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NY · 298555✔ Licensed in NJ · 25MA11829800
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6 WELLNESS WAY STE G03, Latham, NY 12110
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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

Elizabeth Jacob 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 ID1850662040
PECOS Enrollment IDI20241104000723
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

COMMUNITY CARE PHYSICIANS, PC
Surgery
6 WELLNESS WAY STE G03
LATHAM, NY 12110
Albany County (518) 785-5884
SAVANAH LEBER PA
Physician Assistant
6 WELLNESS WAY STE G03
LATHAM, NY 12110
Albany County (518) 785-5884
DR. PETER E. FISK M.D.
Surgery
6 WELLNESS WAY STE G03
LATHAM, NY 12110
Albany County (518) 785-5884
VISHNUDAS PANEMANGLORE PAI MD
Surgery
6 WELLNESS WAY STE G03
LATHAM, NY 12110
Albany County (518) 785-5884
ELANA RADIN PA
Physician Assistant
6 WELLNESS WAY STE G03
LATHAM, NY 12110
Albany County (518) 785-5884
ARBIND KUMAR MD
Internal Medicine (Gastroenterology)
6 WELLNESS WAY STE G03
LATHAM, NY 12110
Albany County (518) 271-9155
ASMA ARIF MD
Internal Medicine (Gastroenterology)
6 WELLNESS WAY STE G03
LATHAM, NY 12110
Albany County (518) 271-9155

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 Elizabeth Jacob's NPI number?

The NPI number for Elizabeth Jacob is 1619408234. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Elizabeth Jacob located?

Elizabeth Jacob practices at 6 Wellness Way Ste G03, Latham, NY 12110. The listed phone number is (518) 785-5884.

What is Elizabeth Jacob's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Elizabeth Jacob enrolled in Medicare?

Yes. Elizabeth Jacob 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.

Is Elizabeth Jacob affiliated with any hospitals?

According to CMS data, Elizabeth Jacob is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Elizabeth Jacob was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.