DR. JACOB H FENNESSY M.D.
NPI 1972923704
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in San Diego, CA

Q: What is Jacob Fennessy's NPI number?

The NPI number for Jacob Fennessy is 1972923704. It was assigned to this individual provider in the NPPES registry on April 20, 2014.

Q: What is Jacob Fennessy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Fennessy was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 20, 2014PECOS EnrolledAccepts Medicare Assignment

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2022, Jul 29, 2019 (2 updates tracked since 2019).

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About Dr. Jacob H Fennessy M.d. NPPES

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

DR. JACOB H FENNESSY M.D. (NPI 1972923704) is an individual orthopaedic surgery of the spine provider in San Diego, California, licensed in California (A141175) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Georgetown University School Of Medicine (2014).

NPPES Registry Identity

NPI1972923704

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. JACOB H FENNESSYCredential: M.D.

Location Address200 W ARBOR DRSan Diego, CA 92103

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(800) 926-8273

Sole ProprietorYes

Medical School CMSGeorgetown University School Of MedicineGraduated 2014

Enumeration DateApril 20, 2014

Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration

✔ NPI 1972923704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in CA · A141175

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

200 W ARBOR DR, San Diego, CA 92103

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Secondary Practice Location 1

Location 14860 Y St, Ste 3800Sacramento, CA 95817-2307 · Phone (916) 734-2807

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. Jacob H Fennessy M.d. 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 ID9830427772

PECOS Enrollment IDI20190829003610

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.

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.

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Internal Medicine (Geriatric Medicine)