AMRITHA JACOB
NPI 1992302970
Student in an Organized Health Care Education/Training Program in Raleigh, NC

Active since October 02, 2020PECOS Enrolled
3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-8000 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 4, 2025, Oct 2, 2020 (2 updates tracked since 2020).

  • Individual
  • Female
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About AMRITHA JACOB

This page provides the complete NPI Profile along with additional information for Amritha Jacob, a primary care provider established in Raleigh, North Carolina with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1992302970 assigned on October 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1992302970 Verify this NPI
Provider Name
AMRITHA JACOB
Gender
Female
Entity Type
Individual
Location Address
3000 NEW BERN AVE RALEIGH, NC 27610
Location Phone
(919) 350-8000
Mailing Address
225 CEDAR HILL ST STE 200 MARLBOROUGH, MA 01752
Mailing Phone
(877) 418-2978
Mailing Fax
(866) 500-2186
Is Sole Proprietor?
No
Enumeration Date
10-02-2020
Last Update Date
04-04-2025
Code Navigator

A primary care provider (PCP) like Amritha Jacob sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

(MA)

Medicare Participation & PECOS Enrollment Status

Amritha Jacob is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for AMRITHA JACOB

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Internal Medicine (Clinical Cardiac Electrophysiology)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, STE 1100
RALEIGH, NC 27610
Emergency Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Emergency Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Emergency Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Emergency Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Emergency Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Emergency Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Emergency Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Emergency Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Emergency Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Emergency Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992302970, enumerated as an "individual" on October 02, 2020.

The provider is located at 3000 NEW BERN AVE RALEIGH, NC 27610 and the phone number is (919) 350-8000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.