SHELBY JACOB M.D. - NPI 1689830127 - Pediatrics in Fort Worth, TX

Q: What is Shelby Jacob's NPI number?

The NPI number for Shelby Jacob is 1689830127. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Q: What is Shelby Jacob's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Jacob was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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About Shelby Jacob M.d. NPPES

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

SHELBY JACOB M.D. (NPI 1689830127) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (N3768) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689830127

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHELBY JACOBCredential: M.D.

Location Address9840 N BEACH STFort Worth, TX 76244-6184

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396

Phone(817) 431-3898

Fax(817) 379-1161

Sole ProprietorNo

Enumeration DateAugust 4, 2008

Last NPPES UpdateMay 7, 20212 updates tracked since enumeration

NPPES CertifiedMay 7, 2021

✔ NPI 1689830127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in TX · N3768✔ Licensed in IL · 036.121495

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

9840 N BEACH ST, Fort Worth, TX 76244

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Jacob M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76244 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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 9

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

MRS. LARA LAINE LAWRENCE RN, MNSC, APRN, CPNP

Physician Assistant