DR. SANJIVINI VISHWAS JACOB M. D.
NPI 1629234521
Preventive Medicine - Addiction Medicine in Chattanooga, TN

Q: What is Sanjivini Jacob's NPI number?

The NPI number for Sanjivini Jacob is 1629234521. It was assigned to this individual provider in the NPPES registry on July 31, 2008. The provider is also known as Dr. Sanjivini Vishwas Dhanawade M. D..

Q: What is Sanjivini Jacob's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Q: When was this NPI record last updated?

The NPPES record for Sanjivini Jacob was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 31, 2008PECOS EnrolledAccepts Medicare Assignment

6141 SHALLOWFORD RD STE 100, CHATTANOOGA, TN 37421(423) 498-2000(423) 498-2001 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 24, 2024, Jul 17, 2023, Nov 3, 2020 (3 updates tracked since 2020).

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About Dr. Sanjivini Vishwas Jacob M. D. NPPES

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

DR. SANJIVINI VISHWAS JACOB M. D. (NPI 1629234521) is an individual addiction medicine provider in Chattanooga, Tennessee, licensed in Tennessee (044848) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1629234521

Entity TypeIndividualFemale

Primary Taxonomy2083A0300X

Provider Legal NameDR. SANJIVINI VISHWAS JACOBCredential: M. D.

Location Address6141 SHALLOWFORD RD STE 100Chattanooga, TN 37421-1663

Mailing Address6141 Shallowford Rd Ste 100Chattanooga, TN 37421-1663 · (423) 498-2000 · Fax (423) 498-2001

Phone(423) 498-2000

Fax(423) 498-2001

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateJuly 31, 2008

Last NPPES UpdateFebruary 23, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2026

✔ NPI 1629234521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

License✔ Licensed in TN · 044848

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

6141 SHALLOWFORD RD STE 100, Chattanooga, TN 37421

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Other Names 1

Former Name (1)Dr. Sanjivini Vishwas Dhanawade M. D.

Secondary Practice Locations 3

Location 1210 Walmart Dr Ste ASoddy Daisy, TN 37379-5022 · Phone (423) 498-2000 · Fax (423) 498-2001

Location 24962 BATTLEFIELD PARKWAYRINGGOLD, GA 30736 · Phone (423) 498-2000 · Fax (423) 498-2001

Location 32130 Chambliss Ave NWCleveland, TN 37311-3839 · Phone (423) 498-2000 · Fax (423) 498-2001

Other Identifiers 1

MedicaidQ047258TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. Sanjivini Vishwas Jacob M. D. 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 ID8729149794

PECOS Enrollment IDI20200219000135

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

120 services30 patients

Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month G2087

This treatment for opioid use disorder involves regular office visits for coordinated care, individual and group therapy. It aims to manage withdrawal symptoms, prevent relapse, and promote recovery. It's a 60-minute procedure, repeated monthly.

106 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 6

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

OTIS BRANDON FORRESTER FNP-C

Nurse Practitioner (Family)