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DR. TINA JACOB DDS
NPI 1932447620
Dentist - General Practice in Albany, NY

Active since January 30, 2013PECOS Enrolled
5 PINE WEST PLZ STE 504, ALBANY, NY 12205(518) 456-5134 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 30, 2020, May 9, 2017 (2 updates tracked since 2017).

About Dr. Tina Jacob Dds NPPES

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

DR. TINA JACOB DDS (NPI 1932447620) is an individual general practice provider in Albany, New York, licensed in New York (056792) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932447620
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TINA JACOBCredential: DDS
Location Address5 PINE WEST PLZ STE 504Albany, NY 12205-5587
Mailing Address5 Pine West Plz Ste 504Albany, NY 12205-5587 · (518) 456-5134
Phone(518) 456-5134
Sole ProprietorNo
Enumeration DateJanuary 30, 2013
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1932447620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 056792
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.

5 PINE WEST PLZ STE 504, Albany, NY 12205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. Tina Jacob 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 12205 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 Tina Jacob's NPI number?

The NPI number for Tina Jacob is 1932447620. It was assigned to this individual provider in the NPPES registry on January 30, 2013.

Where is Tina Jacob located?

Tina Jacob practices at 5 Pine West Plz Ste 504, Albany, NY 12205. The listed phone number is (518) 456-5134.

What is Tina Jacob's specialty?

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

Is Tina Jacob enrolled in Medicare?

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

What insurance does Tina Jacob accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Tina 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 Tina Jacob was last updated on September 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.