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

Q: What is Amritha Jacob's NPI number?

The NPI number for Amritha Jacob is 1992302970. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Q: What is Amritha Jacob's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Amritha Jacob was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

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: August 16, 2026.

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

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About Amritha Jacob NPPES

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

AMRITHA JACOB (NPI 1992302970) is an individual student in an organized health care education/training program in Raleigh, North Carolina and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992302970

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAMRITHA JACOB

Location Address3000 NEW BERN AVERaleigh, NC 27610-1231

Mailing Address225 Cedar Hill St Ste 200Marlborough, MA 01752-5900 · (877) 418-2978 · Fax (866) 500-2186

Phone(919) 350-8000

Sole ProprietorNo

Enumeration DateOctober 2, 2020

Last NPPES UpdateApril 4, 20252 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1992302970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

3000 NEW BERN AVE, Raleigh, NC 27610

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amritha Jacob 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.

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.

JILL M PAPPALARDI M.D.

Hospitalist