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

ROY G JACOB MD
NPI 1851596530
Radiology - Pediatric Radiology in Lubbock, TX

Active since June 20, 2007PECOS EnrolledAccepts Medicare Assignment
602 INDIANA AVE, LUBBOCK, TX 79415(806) 775-8400 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2026, Nov 18, 2015 (2 updates tracked since 2015).

About Roy G Jacob Md NPPES

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

ROY G JACOB MD (NPI 1851596530) is an individual pediatric radiology provider in Lubbock, Texas, licensed in Texas (P7288) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains a secondary practice location in Edina.

NPPES Registry Identity

NPI1851596530
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameROY G JACOBCredential: MD
Location Address602 INDIANA AVELubbock, TX 79415-3364
Mailing Address602 Indiana AveLubbock, TX 79415-3364 · (806) 775-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 20, 2007
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1851596530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
Licenses Licensed in TX · P7288 Licensed in OK · 25650
Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License P7288 (TX)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 25650 (OK), MD484227 (PA), P7288 (TX)
602 INDIANA AVE, Lubbock, TX 79415

Secondary Practice Location 1

Location 13600 Minnesota Dr Ste 800Edina, MN 55435-7915 · Phone (952) 595-1100 · Fax (612) 294-4903

Accepted 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

Roy G Jacob Md 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 ID6305067562
PECOS Enrollment IDI20141031002017
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 26

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
163 services154 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
159 services154 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
45 services43 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
44 services43 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
42 services41 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
37 services37 patients

Hospital Affiliations CMS Care Compare 5

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%75 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pediatrics
602 INDIANA AVE
LUBBOCK, TX 79415
Pediatrics (Neonatal-Perinatal Medicine)
602 INDIANA AVE, NICU, UNIVERSITY MEDICAL CENTER
LUBBOCK, TX 79415
Radiology (Diagnostic Radiology)
602 INDIANA AVE
LUBBOCK, TX 79415
Radiology (Diagnostic Radiology)
602 INDIANA AVE
LUBBOCK, TX 79415
Pediatrics (Pediatric Infectious Diseases)
602 INDIANA AVE
LUBBOCK, TX 79415
Family Medicine
602 INDIANA AVE
LUBBOCK, TX 79415
Emergency Medicine (Emergency Medical Services)
602 INDIANA AVE
LUBBOCK, TX 79415
Pharmacist
602 INDIANA AVE
LUBBOCK, TX 79415

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 Roy Jacob's NPI number?

The NPI number for Roy Jacob is 1851596530. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Roy Jacob located?

Roy Jacob practices at 602 Indiana Ave, Lubbock, TX 79415. The listed phone number is (806) 775-8400.

What is Roy Jacob's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Roy Jacob enrolled in Medicare?

Yes. Roy 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 Roy Jacob accept?

Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Oscar Insurance Company and 1 other insurer list Roy 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 Roy Jacob affiliated with any hospitals?

According to CMS data, Roy Jacob is affiliated with King's Daughters' Medical Center, Jefferson Stratford Hospital, Mercy Hospital Oklahoma City, Inc, Tristar Centennial Medical Center and University Medical Center.

When was this NPI record last updated?

The NPPES record for Roy Jacob was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.