DR. EUNICE SAJAN JACOB-CHARLY DO
NPI 1689105413
Internal Medicine in Elgin, IL

Active since March 23, 2017Opted out of Medicare · through Feb 10, 2027
2250 POINT BLVD STE 140, ELGIN, IL 60123(224) 212-0205(224) 253-4973 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2025, Aug 4, 2020, Jul 10, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Eunice Sajan Jacob-charly Do NPPES

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

DR. EUNICE SAJAN JACOB-CHARLY DO (NPI 1689105413) is an individual internal medicine provider in Elgin, Illinois, licensed in Illinois (036.151197) and active in the NPI registry since March 2017. She has opted out of Medicare through February 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689105413
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. EUNICE SAJAN JACOB-CHARLYCredential: DO
Location Address2250 POINT BLVD STE 140Elgin, IL 60123-7869
Mailing Address2250 Point Blvd Ste 140Elgin, IL 60123-7869 · (224) 212-0205 · Fax (224) 253-4973
Fax(224) 253-4973
Sole ProprietorYes
Enumeration DateMarch 23, 2017
Last NPPES UpdateApril 28, 20254 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
NPI 1689105413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036.151197
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2250 POINT BLVD STE 140, Elgin, IL 60123

Other Names 1

Former Name (1)Dr. Eunice Sajan Jacob D.o

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Eunice Sajan Jacob-charly Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 10, 2025 through February 10, 2027.

Opt-Out Effective DateFebruary 10, 2025
Opt-Out In Effect ThroughFebruary 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 2

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

Counselor (Mental Health)
2250 POINT BLVD STE 140
ELGIN, IL 60123
Clinic/Center (Primary Care)
2250 POINT BLVD STE 140
ELGIN, IL 60123

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 Eunice Jacob-charly's NPI number?

The NPI number for Eunice Jacob-charly is 1689105413. It was assigned to this individual provider in the NPPES registry on March 23, 2017. The provider is also known as Dr. Eunice Sajan Jacob D.O.

Where is Eunice Jacob-charly located?

Eunice Jacob-charly practices at 2250 Point Blvd Ste 140, Elgin, IL 60123. The listed phone number is (224) 212-0205.

What is Eunice Jacob-charly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Eunice Jacob-charly enrolled in Medicare?

No. Eunice Jacob-charly has opted out of Medicare through February 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eunice Jacob-charly was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.