Matteethra Chandy Jacob, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

F2730 Issued in TX

Practice address

8520 Knight Road
Houston, TX 77054-3808

Phone

(713) 790-1335

Fax

(713) 797-1858

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Columbia University College of Physicians and Surgeons, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Clinic of TexasGroup PAC ID 7911968029, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BHFECD/Endpoint/BHFECD
• FHIR API: https://fhir4.healow.com/fhir/r4/BHFECD

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 Clinic of Texas

  • Specialist
  • Houston, TX
  • NPI 1225288673
  Medicare reassignment Care Compare group NPD Authorized official
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1417020744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 KNIGHT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543808",
            "telephone_number": "713-961-4962",
            "fax_number": "713-355-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 KNIGHT ROAD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543808",
            "telephone_number": "713-790-1335",
            "fax_number": "713-797-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "MATTEETHRA",
        "middle_name": "CHANDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F2730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel John Jacob, MD
• Julie Don Jacob, PHARMD
• Lillykutty J Jacob
• Lizy Jacob, OTA
• Manju Chittat Jacob, APRN
• Meenu Jacob, MD
• Praisy Jacob
• Ravena Sosa Jacob, OD
• Reni John Jacob, PHARM. D
• Rhonda Jacob, D.M.D.

• Cardiovascular Disease Physician in Houston, TX
• Providers in Houston, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.