DR. NIRMAL TOM JACOB MBBS
NPI 1902435092
Psychiatry & Neurology - Epilepsy in Peoria, IL

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2025, Feb 5, 2025, Jul 23, 2024 and 2 more (5 updates tracked since 2020).

About Dr. Nirmal Tom Jacob Mbbs NPPES

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

DR. NIRMAL TOM JACOB MBBS (NPI 1902435092) is an individual epilepsy provider in Peoria, Illinois, licensed in Illinois (036177259) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1902435092
Entity TypeIndividualMale
Primary Taxonomy2084E0001X
Provider Legal NameDR. NIRMAL TOM JACOBCredential: MBBS
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-2531
Mailing Address200 E Pennsylvania AvePeoria, IL 61603-3089 · (309) 624-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 2, 2020
Last NPPES UpdateSeptember 30, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1902435092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians
Taxonomy Code2084E0001X
Licenses Licensed in IL · 036177259 Licensed in MI · 4301512386
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
530 NE GLEN OAK AVE, Peoria, IL 61637

Secondary Practice Location 1

Location 1200 E Pennsylvania AvePeoria, IL 61603-3089 · Phone (309) 624-4000

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. Nirmal Tom Jacob Mbbs 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 ID4587003199
PECOS Enrollment IDI20251112001004
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.

Hospital Affiliations CMS Care Compare 2

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle 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.

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Nirmal Jacob's NPI number?

The NPI number for Nirmal Jacob is 1902435092. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Nirmal Jacob located?

Nirmal Jacob practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.

What is Nirmal Jacob's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Is Nirmal Jacob enrolled in Medicare?

Yes. Nirmal 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.

Is Nirmal Jacob affiliated with any hospitals?

According to CMS data, Nirmal Jacob is affiliated with Saint Francis Medical Center and Osf Saint Elizabeth Mdl Ctr.

When was this NPI record last updated?

The NPPES record for Nirmal Jacob was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.