NPIMap

Individual provider Active NPI

Cindy S Jacob, MD

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1174747661
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1691 Issued in TX
Practice address
1259 FM 1463 Rd Ste 400
Katy, TX 77494-5480
Phone
(832) 695-9400
Fax
(888) 720-2860
NPI assigned
Apr 13, 2007
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N1691 TX Primary

Addresses

Primary practice location

1259 FM 1463 Rd Ste 400
Katy, TX 77494-5480

Mailing address

1259 FM 1463 Rd Ste 400
Katy, TX 77494-5480
Phone (832) 695-9400

Other identifiers 2

IdentifierTypeStateIssuer
204948801MedicaidTX
8L17482OtherTXMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090825000242 TX Practitioner - Family Practice 8729153713 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Primary Care PLLCGroup PAC ID 8325582570, 2 clinicians
Select Physical Therapy Texas Limited PartnershipGroup PAC ID 6608868070, shared by 9 NPIs, 91 clinicians

Practice addresses (Care Compare)

1259 FM 1463 Rd
Suite 400
Katy, TX 77494-5480
Phone (832) 695-9400

13440 University Blvd
Sugar Land, TX 77479-4909
Phone (281) 277-1330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Care LLC CurrentSince Apr 1, 2026 Accepting new patients
Trinity Primary Care PLLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Health and Wellness Solutions PA CurrentSince Sep 1, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1259 FM 1463 Rd
Ste 400
Katy, TX 77494
Phone (832) 228-2005

1259 FM 1463 Rd
Ste 500
Katy, TX 77494
Phone (361) 237-1072

26600 Cook Field Rd
Ste 306
Katy, TX 77494
Phone (713) 429-4550

6404 Nursery Dr
Ste 201
Victoria, TX 77904
Phone (361) 345-4566

8806 N Navarro St
Ste 600
Victoria, TX 77904
Phone (361) 237-4727

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5921/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABFEBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DDHIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDFDD/Endpoint/IBDFDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1174747661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 FM 1463 RD STE 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945480",
            "telephone_number": "832-695-9400",
            "fax_number": "888-720-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 FM 1463 RD STE 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945480",
            "telephone_number": "832-695-9400",
            "fax_number": "888-720-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "CINDY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204948801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "8L17482",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.