Joby Chacko Jacob, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD474033 Issued in PA

Practice address

1411 Woodbourne Rd
Levittown, PA 19057-1540

Phone

(215) 943-2000

Fax

(215) 943-4439

NPI assigned

May 16, 2018

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

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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

Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Docs LLCGroup PAC ID 1254751456, 24 clinicians

Mercer Bucks Medical Associates PCGroup PAC ID 9133024508, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc. Home health agency, Jamison, PA, CCN 397791
• Guardian Hospice Care, Inc. Hospice, Willow Grove, PA, CCN 731516
• Keystone Hospice Hospice, Wyndmoor, PA, CCN 391593
• Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
• Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
• Mercy Catholic Medical Center- Mercy Fitzgerald Hospital, Darby, PA, CCN 390156
• Kindred Hospital Philadelphia Long-term care hospital, Lawncrest, PA, CCN 392027
• Aventura at Prospect Nursing home, Prospect Park, PA, CCN 395203
• Montgomery Subacute and Respiratory Center Nursing home, Plymouth Meeting, PA, CCN 395847

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 43)

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Aventura at Prospect, LLC

  • Skilled Nursing Facility
  • Prospect Park, PA
  • NPI 1720561871

  Adp of the SNF

  CMS ownership
• Mayfair Operator LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
  • NPI 1134774946

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Montgomery SNF Operator LLC

  • Skilled Nursing Facility
  • Plymouth Meeting, PA
  • NPI 1952029126

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Mercer Bucks Medical Associates, P.C.

  • Internal Medicine Physician
  • Levittown, PA
  • NPI 1952485971

  NJ

  Medicare reassignment Care Compare group NPD
• First Docs LLC

  • Internal Medicine Physician
  • Hamilton, NJ
  • NPI 1154936227

  PA

  Medicare reassignment Care Compare group NPD
• Aventura at Prospect, LLC

  • Skilled Nursing Facility
  • Prospect Park, PA
  • NPI 1720561871
  NPD (past)
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Havertown, PA
  • NPI 1235333089
  NPD (past)
• Liberty Lutheran Housing Development Corporation

  • Skilled Nursing Facility
  • State College, PA
  • NPI 1952392193
  NPD (past)
• Mayfair Operator LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
  • NPI 1134774946
  NPD (past)
• Montgomery SNF Operator LLC

  • Skilled Nursing Facility
  • Plymouth Meeting, PA
  • NPI 1952029126
  NPD (past)
• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  NPD (past)

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Blue Bell, PA
  • NPI 1245323351
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Hatboro, PA
  • NPI 1316387798
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Bethlehem, PA
  • NPI 1477713519
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Jamison, PA
  • NPI 1649217092
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Newtown, PA
  • NPI 1801837976
  Care Compare affiliation
• Guardian Hospice Care Inc

  • Community Based Hospice Care Agency
  • Willow Grove, PA
  • NPI 1972284859
  Care Compare affiliation
• Keystone Hospice

  • Community Based Hospice Care Agency
  • Wyndmoor, PA
  • NPI 1992780670
  Care Compare affiliation
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Havertown, PA
  • NPI 1235333089

  Long-term care hospital

  Care Compare affiliation
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Philadelphia, PA
  • NPI 1306918040

  Long-term care hospital

  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Bryn Mawr, PA
  • NPI 1508971441
  Care Compare affiliation
• Montgomery SNF Operator LLC

  • Skilled Nursing Facility
  • Plymouth Meeting, PA
  • NPI 1952029126

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1477043248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410725",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740725",
            "telephone_number": "215-943-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WOODBOURNE RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571540",
            "telephone_number": "215-943-2000",
            "fax_number": "215-943-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "JOBY",
        "middle_name": "CHACKO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD474033",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT216142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Loving Hands Non-Emergency Transportation
• Interim Management Associates Inc.
• Joseph Michael Ireland, PT, DPT
• Nishita Irukulla, DDS
• Garth Jackson, AGACNP-BC
• Daniel E Jacobs, D.M.D.
• James C. Rossi D.O.P.C.
• Angela Frances Jannelli, M.D.
• Gihan Jayasuriya, DO
• John F. Glodek,M.D. and Associates

• Internal Medicine Physician in Levittown, PA
• Providers in Levittown, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.