Individual provider Active NPI

Lionel Newman Jacob, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Chesapeake, VA
National Provider Identifier
1689679342
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0101051274 Issued in VA
Practice address
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone
(757) 312-8121
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101051274 VA Primary

Addresses

Primary practice location

736 Battlefield Blvd N
Chesapeake, VA 23320-4941

Mailing address

PO Box 1295
Bluefield, WV 24701-1295
Phone (304) 323-4320

Other practice location 1

661 Independence Pkwy Ste 120
Chesapeake, VA 23320-5114
Phone (757) 547-0798

Other identifiers 2

IdentifierTypeStateIssuer
1689679342MedicaidVA
6608159MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20110321000044 VA Practitioner - Pathology 5092998625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of South Alabama College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates VA, LLCGroup PAC ID 2466449228, 51 clinicians
Hampton Roads Pathology IncGroup PAC ID 9032177894, 4 clinicians

Practice addresses (Care Compare)

661 Independence Pkwy
Suite 120
Chesapeake, VA 23320-5114
Phone (757) 547-0798

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6118

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101051274VAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Hospital Authority Current Accepting new patients
Gastroenterology Associates VA, LLC CurrentSince Apr 9, 2024 Accepting new patients
Hampton Roads Pathology Inc Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2002 Accepting new patients

Locations

6100 Waterford District Dr
Ste 450
Miami, FL 33126

661 Independence Pkwy
Ste 120
Chesapeake, VA 23320
Phone (757) 547-0798

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

8640 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (703) 368-6819

5701 Cleveland St
Ste 100
Virginia Beach, VA 23462
Phone (757) 547-0798

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1689679342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1295",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247011295",
            "telephone_number": "304-323-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BATTLEFIELD BLVD N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204941",
            "telephone_number": "757-312-8121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 Independence Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205114",
            "country_code": "US",
            "telephone_number": "757-547-0798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "LIONEL",
        "middle_name": "NEWMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101051274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689679342",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6608159",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.