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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. RUDOLPH DANIEL JACOB M.D.
NPI 1760452270
Specialist in Metairie, LA

Active since January 25, 2006PECOS Enrolled
4228 HOUMA BLVD, SUITE 340, METAIRIE, LA 70006(504) 454-3611(504) 888-9452 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rudolph Daniel Jacob M.d. NPPES

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

DR. RUDOLPH DANIEL JACOB M.D. (NPI 1760452270) is an individual specialist in Metairie, Louisiana, licensed in Louisiana (012606) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Tulane University School Of Medicine (1974).

NPPES Registry Identity

NPI1760452270
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RUDOLPH DANIEL JACOBCredential: M.D.
Location Address4228 HOUMA BLVD, SUITE 340Metairie, LA 70006-3000
Mailing Address4228 Houma Blvd, Suite 340Metairie, LA 70006-3000 · (504) 454-3611 · Fax (504) 888-9452
Phone(504) 454-3611
Fax(504) 888-9452
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1974
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1760452270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 012606
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4228 HOUMA BLVD, Metairie, LA 70006
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Other Identifiers 1

Medicaid1347159LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana.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. Rudolph Daniel 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 ID9436213097
PECOS Enrollment IDI20090126000496
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
231 services136 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
89 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services42 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
36 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Ochsner Medical Center-Kenner

Acute Care Hospitals · Kenner, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190274
Location180 West Esplanade AvenueKenner, LA 70065 · Jefferson County
Emergency services Birthing friendly

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.

JACOB GENERAL SURGERY, LLC
Surgery
4228 HOUMA BLVD, SUITE 220
METAIRIE, LA 70006
Jefferson Parish (504) 264-9353
GARRETT WAX AGACNP-BC
Nurse Practitioner (Acute Care)
4228 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-2222
BENNIE PETER NOBLES JR. MD
Obstetrics & Gynecology
4228 HOUMA BLVD, STE 410
METAIRIE, LA 70006
Jefferson Parish (504) 883-3770
MRS. DENISE CHATELAIN CRAWFORD R.N.F.A.
Registered Nurse (Registered Nurse First Assistant)
4228 HOUMA BLVD, SUITE 510
METAIRIE, LA 70006
Jefferson Parish (504) 454-0141
DR. THORKELL EINARSSON MD
Student in an Organized Health Care Education/Training Program
4228 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-7878
DR. JOHN F NITSCHE M.D.
Internal Medicine (Rheumatology)
4228 HOUMA BLVD, SUITE 600B
METAIRIE, LA 70006
Jefferson Parish (504) 454-2191
R. DANIEL JACOB, M.D.,A.P.M.C.
Otolaryngology
4228 HOUMA BLVD, SUITE 340
METAIRIE, LA 70006
Jefferson Parish (504) 454-3611
DR. RICHARD EDWARD BRIDGES M.D.
Family Medicine
4228 HOUMA BLVD, STE 200
METAIRIE, LA 70006
Jefferson Parish (504) 454-7878

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 Rudolph Jacob's NPI number?

The NPI number for Rudolph Jacob is 1760452270. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Rudolph Jacob located?

Rudolph Jacob practices at 4228 Houma Blvd Suite 340, Metairie, LA 70006. The listed phone number is (504) 454-3611.

What is Rudolph Jacob's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Rudolph Jacob enrolled in Medicare?

Yes. Rudolph 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.

What insurance does Rudolph Jacob accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Rudolph Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rudolph Jacob affiliated with any hospitals?

According to CMS data, Rudolph Jacob is affiliated with Ochsner Medical Center Acute and Ochsner Medical Center-Kenner.

When was this NPI record last updated?

The NPPES record for Rudolph Jacob was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.