1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Dentist
  6. NPI Profile

DR. NEVILLE KALLARACKEL JACOB BDS,DDS
NPI 1811226715
Dentist - General Practice in Louisville, KY

Active since December 24, 2009PECOS Enrolled
4420 DIXIE HWY STE 110, LOUISVILLE, KY 40216(502) 447-3323(913) 752-9116 Get Directions Write a Review

NPPES record last updated: September 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Neville Kallarackel Jacob Bds,dds NPPES

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

DR. NEVILLE KALLARACKEL JACOB BDS,DDS (NPI 1811226715) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (9859) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811226715
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NEVILLE KALLARACKEL JACOBCredential: BDS,DDS
Location Address4420 DIXIE HWY STE 110Louisville, KY 40216-2986
Mailing Address7517 Celebration WayCrestwood, KY 40014 · (317) 702-0660
Phone(502) 447-3323
Fax(913) 752-9116
Sole ProprietorNo
Enumeration DateDecember 24, 2009
Last NPPES UpdateSeptember 5, 2017
✔ NPI 1811226715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 9859
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4420 DIXIE HWY STE 110, Louisville, KY 40216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 (PECOS)

Dr. Neville Kallarackel Jacob Bds,dds 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 40216 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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 8

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

DENTAL SERVICES OF KENTUCKY, PSC
Dentist
4420 DIXIE HWY STE 110
SHIVELY, KY 40216
Jefferson County (913) 428-1684
DR. ERIC M SAUK DDS
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Jefferson County (502) 447-3323
DR. DIMITRIOS SOTIRIOS BASILAKOS DMD
Dentist (Prosthodontics)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Jefferson County (502) 447-3323
KELLY CORR COOPER MD
Preventive Medicine (Addiction Medicine)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Jefferson County (502) 449-6464
DR. BENJAMIN SLADER JORDAN DMD
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Jefferson County (502) 305-2534
DR. JANEICE AISHA WOOTEN-KERR DDS
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Jefferson County (502) 447-3323
DR. ALEXANDER SUKHORUKOV D.M.D.
Dentist (General Practice)
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Jefferson County (502) 447-3323
MUHAMMAD UMAIR SEYAL
Dentist
4420 DIXIE HWY STE 110
LOUISVILLE, KY 40216
Jefferson County (502) 447-3323

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 Neville Jacob's NPI number?

The NPI number for Neville Jacob is 1811226715. It was assigned to this individual provider in the NPPES registry on December 24, 2009.

Where is Neville Jacob located?

Neville Jacob practices at 4420 Dixie Hwy Ste 110, Louisville, KY 40216. The listed phone number is (502) 447-3323.

What is Neville Jacob's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Neville Jacob enrolled in Medicare?

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

What insurance does Neville Jacob accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 11 other insurers list Neville 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.

When was this NPI record last updated?

The NPPES record for Neville Jacob was last updated on September 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.