Active NPI
Salil G Jacob, MD
- Pediatrics Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME84815
- Practice address
- 1344 22ND St S
Saint Petersburg, FL 33712-2744 - Phone
- (727) 824-8181
- NPI assigned
- Jul 14, 2006
- Last updated
- Jun 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME84815 | FL | Primary |
Addresses
Primary practice location
1344 22ND St S
Saint Petersburg, FL 33712-2744
Mailing address
1907 Tyrone Blvd N
St Petersburg, FL 33710-4841
Phone (727) 317-2117
Other practice location 1
1907 Tyrone Blvd N
St Petersburg, FL 33710-4841
Phone (727) 317-2117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264069400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260527000845 | FL | Practitioner - Pediatric Medicine | 0648740001 |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14100 58TH St N
Clearwater, FL 33760-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME84815 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All4Kidz Pediatrics, LLC | Pediatrics | Current | Accepting new patients |
| Pediatric Health Care Alliance, PA | Pediatrics | Past | Accepting new patients |
Locations
1907 Tyrone Blvd N
St Petersburg, FL 33710
Phone (727) 317-2117
Organizations & group practices 2
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.
-
dba ALL4KIDZ Pediatrics
- Pediatrics Physician
- St Petersburg, FL
- NPI 1568071165
-
- Pediatrics Physician
- Wesley Chapel, FL
- NPI 1407522352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1245256163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 TYRONE BLVD N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337104841",
"telephone_number": "727-317-2117",
"fax_number": "727-317-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1344 22ND ST S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337122744",
"telephone_number": "727-824-8181"
}
],
"practiceLocations": [
{
"address_1": "1907 Tyrone Blvd N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337104841",
"country_code": "US",
"telephone_number": "727-317-2117",
"fax_number": "727-317-2104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOB",
"first_name": "SALIL",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME84815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264069400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.