Jose Jacob, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME146896 Issued in FL

Practice address

1215 S 9TH St
Leesburg, FL 34748-6845

Phone

(352) 512-9104

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Heart Institute of Venice PLLCGroup PAC ID 3173556677, 7 clinicians

Cardiovascular Interventions PAGroup PAC ID 4981634664, 3 clinicians

Millennium Cardiovascular Associates IncGroup PAC ID 2466823489, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: josejacob@eccpa.allscriptsdirect.net
• Direct secure messaging: jjacob56@yourcarecommunity.org

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

• Cardiovascular Interventions PA

  • Specialist
  • Orlando, FL
  • NPI 1790843332

  FL

  Medicare reassignment Care Compare group NPD
• Millennium Cardiovascular Associates Inc

  • Interventional Cardiology Physician
  • Venice, FL
  • NPI 1013633072

  Cardiovascular Disease, FL

  Medicare reassignment Care Compare group NPD
• The Heart Institute of Venice PLLC

  • Interventional Cardiology Physician
  • Venice, FL
  • NPI 1437114642

  Cardiovascular Disease, FL

  Medicare reassignment Care Compare group NPD
• Cardiothoracic & Vascular Surgical Associates PA

  • Vascular & Interventional Radiology Physician
  • Jacksonville, FL
  • NPI 1851403125

  Cardiovascular Disease, FL

  Medicare reassignment NPD
• Williamston Clinic Corp

  • Family Medicine Physician
  • Williamston, NC
  • NPI 1811990443

  Cardiovascular Disease, NC

  Medicare reassignment NPD
• Carolina East Cardiology PC

  • Specialist
  • Greenville, NC
  • NPI 1083818900
  NPD (past) Authorized official
• Carolina East Cardiology, P.C.

  • Cardiovascular Disease Physician
  • Rocky Mount, NC
  • NPI 1912953894

  Cardiovascular Disease

  NPD (past) Authorized official
• University Group Medical Associates, P.C

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1285683102
  NPD (past)

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

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071

  Hospital

  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1194771832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S 9TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486845",
            "telephone_number": "352-512-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S 9TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486845",
            "telephone_number": "352-512-9104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 SW State Road 200",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344765575",
            "country_code": "US",
            "telephone_number": "352-622-4251",
            "fax_number": "352-622-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 SW 20th Pl",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717734",
            "country_code": "US",
            "telephone_number": "352-622-4251",
            "fax_number": "352-622-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Venetia Bay Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342858046",
            "country_code": "US",
            "telephone_number": "941-837-2922",
            "fax_number": "941-444-2992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME146896",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200200553",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131E0",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109046000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revathi Iyengar, MD
• J & J Home Health Care LLC
• J.M.and Dozier LLC
• J&B Medical Supply Co Inc
• Keith R Jackson, OTR/L
• James K. Berry OD, PA
• Shirley Julianna James, PTA
• Jaxson'S House of Care LLC
• Sharon A Jeffries
• Andrej Jivitski, MD

• All providers in Leesburg, FL
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.