Organization Active NPI

Jacob Pediatrics PLLC

Doing business as Jacob Pediatrics and Family Medicine

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1083059505
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JACOB PEDIATRICS PLLC
Doing business as
Jacob Pediatrics and Family Medicine
Practice address
2308 W Grauwyler Rd
Irving, TX 75061-4352
Phone
(972) 790-8300
Fax
(972) 790-8985
NPI assigned
May 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anita Jacob-Parayil, DNPNPI 1548577976
Title
President
Phone
(972) 809-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X 685930 TX

Addresses

Primary practice location

2308 W Grauwyler Rd
Irving, TX 75061-4352

Mailing address

2308 W Grauwyler Rd
Irving, TX 75061-4352
Phone (972) 790-8300

Other names 1

  • Jacob Pediatrics and Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210126002677 TX Part B Supplier - Clinic/Group Practice 6305250713 Receives reassigned benefits from 2 practitioners
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

2308 W Grauwyler Rd
Irving, TX 75061
Phone (972) 790-8300

1735 N Story Rd
Ste 154
Irving, TX 75061

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1083059505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 W GRAUWYLER RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614352",
            "telephone_number": "972-790-8300",
            "fax_number": "972-790-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 W GRAUWYLER RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614352",
            "telephone_number": "972-790-8300",
            "fax_number": "972-790-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "JACOB-PARAYIL",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-809-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "685930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacob Pediatrics and Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.