JESSIE JACOB MD INC
NPI 1972848638
Clinic/Center - Radiology in Palo Alto, CA
About Jessie Jacob Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSIE JACOB MD INC (NPI 1972848638) is a healthcare organization registered as a radiology in Palo Alto, California and active in the NPI registry since December 2012. The organization lists Jessie K Jacob, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessie Jacob Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jessie Jacob MD Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jessie Jacob MD Inc's NPI number?
The NPI number for Jessie Jacob MD Inc is 1972848638. It was assigned to this organization in the NPPES registry on December 6, 2012.
Where is Jessie Jacob MD Inc located?
Jessie Jacob MD Inc is located at 900 Welch Rd Suite 101, Palo Alto, CA 94304. The listed phone number is (650) 617-8655.
What is Jessie Jacob MD Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
Is Jessie Jacob MD Inc enrolled in Medicare?
Yes. Jessie Jacob MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jessie Jacob MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Jessie Jacob MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jessie Jacob MD Inc was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jessie Jacob Md Inc · NPI 1972848638
Radiology organization in Palo Alto, California. Organization record, active in the CMS NPPES registry since December 6, 2012.
## Identity
- **NPI:** 1972848638 (Entity type: Organization)
- **Enumerated:** December 6, 2012
- **Primary specialty:** Clinic/Center - Radiology · taxonomy 261QR0200X
- **Organization subpart:** No
- **Authorized official:** Jessie Jacob, PRESIDENT
## Practice location
- **Address:** 900 WELCH RD, SUITE 101, Palo Alto, CA 94304-1805
- **Phone:** (650) 617-8655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Diagnostic Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2012
- **Other identifiers:** Other A107083 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1972848638) · Data from the CMS NPPES public registry.