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KEVIN JACOB DO
NPI 1780488023
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since April 04, 2025PECOS Enrolled
1147 NW 64TH TER, GAINESVILLE, FL 32605(352) 333-5152 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kevin Jacob Do NPPES

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

KEVIN JACOB DO (NPI 1780488023) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780488023
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN JACOBCredential: DO
Location Address1147 NW 64TH TERGainesville, FL 32605-4218
Mailing Address1147 Nw 64th TerGainesville, FL 32605-4218 · (352) 226-9325
Phone(352) 333-5152
Sole ProprietorNo
Enumeration DateApril 4, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1780488023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1147 NW 64TH TER, Gainesville, FL 32605
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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 (PECOS)

Kevin Jacob Do 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.

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.

KENNETH ABBOTT
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 333-5152
AZAN HAQUE
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 333-5982
POOJA SANAT PATEL
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 333-5982
COLLIN BUFANO
Emergency Medicine
1147 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 333-4000
DR. INSHERAH SUGHAYER MD, LMHC
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 333-5984
ERICA LEONETTE BRASCHI JORDAN
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 333-5159
BRADLEY ELLIS KASPER BS
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 213-8574
BARBARA SUENING DO
Student in an Organized Health Care Education/Training Program
1147 NW 64TH TER
GAINESVILLE, FL 32605
Alachua County (352) 333-5159

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 Kevin Jacob's NPI number?

The NPI number for Kevin Jacob is 1780488023. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Kevin Jacob located?

Kevin Jacob practices at 1147 NW 64th Ter, Gainesville, FL 32605. The listed phone number is (352) 333-5152.

What is Kevin Jacob's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Jacob enrolled in Medicare?

Yes. Kevin Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Jacob was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.