DAISY SOBHA JACOB
NPI 1871075119
Nurse Practitioner - Family in Fort Worth, TX

Q: What is Daisy Jacob's NPI number?

The NPI number for Daisy Jacob is 1871075119. It was assigned to this individual provider in the NPPES registry on September 4, 2018. The provider is also known as Daisy Sobha Thomas.

Q: What is Daisy Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Daisy Jacob was last updated on July 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 04, 2018PECOS EnrolledAccepts Medicare Assignment

91.96/100

CMS Quality Rating

1500 S MAIN ST FL 4, FORT WORTH, TX 76104(817) 702-1215(817) 927-6843 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2019, Sep 4, 2018 (2 updates tracked since 2018).

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About Daisy Sobha Jacob NPPES

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

DAISY SOBHA JACOB (NPI 1871075119) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP137437) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1871075119

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDAISY SOBHA JACOB

Location Address1500 S MAIN ST FL 4Fort Worth, TX 76104-4917

Mailing AddressPo Box 732973Dallas, TX 75373-2973

Phone(817) 702-1215

Fax(817) 927-6843

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 4, 2018

Last NPPES UpdateJuly 2, 20192 updates tracked since enumeration

✔ NPI 1871075119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP137437

Also ListedRegistered NurseTaxonomy 163W00000X · License 734278 (TX)

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP137437 (TX)

1500 S MAIN ST FL 4, Fort Worth, TX 76104

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Other Names 1

Former Name (1)Daisy Sobha Thomas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Daisy Sobha Jacob 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 ID941539522

PECOS Enrollment IDI20190906001585

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

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.

57 services32 patients

Hospital Affiliations CMS Care Compare

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450039

Location1500 S Main StFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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.

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.

91.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.78

Promoting Interoperability

100

Improvement Activities

Cost

56.81

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Other Providers at the Same Location NPPES 15

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

ANH THI HOANG DO

Family Medicine