Dexter Doromal Jacob, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MD459805 Issued in PA

Practice address

609 W Germantown Pike Ste 120
East Norriton, PA 19403-4243

Phone

(610) 279-1370

Fax

(610) 279-1372

NPI assigned

Mar 30, 2012

Last updated

Jul 10, 2023By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Hahnemann University College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology Consultants of Philadelphia PCGroup PAC ID 5294620746, 154 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
• Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

Merit-based Incentive Payment System (MIPS)

Final score

89.23 of 100Reported as group

Quality

86.8

Promoting interoperability

100

Improvement activities

40

Cost

77.29

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: djacob@direct.wtbyhosp.org

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.

• Cardiology Consultants of Philadelphia, P.C.

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1649272386
  Medicare reassignment Care Compare group NPD

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

• Abington Memorial Hospital

  • General Acute Care Hospital
  • Abington, PA
  • NPI 1811992084
  Care Compare affiliation
• Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1104192590
  Care Compare affiliation

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1306112644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BROAD ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071500",
            "telephone_number": "610-279-1370",
            "fax_number": "610-279-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W GERMANTOWN PIKE STE 120",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034243",
            "telephone_number": "610-279-1370",
            "fax_number": "610-279-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "DEXTER",
        "middle_name": "DOROMAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD459805",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD459805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037689880003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elise Huber, RD, LDN
• Taylor Huffner
• Krystal Humphreys, PA-C
• I.W.I.L.L., LLC
• Tanya Ibrahim
• Atousa Jahanshahi
• Nora Jamil
• Jefferson University Radiology Associates, LLC (Jefferson Outpatient Imaging)
• Jefferson University Radiology Associates, LLC (Jefferson Outpatient Imaging)
• Jeffersonville Family and Geriatric Medicine, LLC

• Interventional Cardiology Physician in East Norriton, PA
• Providers in East Norriton, PA by specialty
• Interventional Cardiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.