Active NPI
Sincer Kurian Jacob, PA-C
- Surgical Physician Assistant
- Woodridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 085004738
- Practice address
- 3329 75TH St FL 1
Woodridge, IL 60517-2700 - Phone
- (847) 646-7000
- Fax
- (630) 548-1563
- NPI assigned
- Sep 10, 2013
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 085004738 | IL | Primary |
Addresses
Primary practice location
3329 75TH St FL 1
Woodridge, IL 60517-2700
Mailing address
2650 Ridge Ave # 1223
Evanston, IL 60201-1700
Phone (847) 982-3175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131202001712 | IL | Practitioner - Physician Assistant | 4183850852 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085004738 | IL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575
6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200
3329 75th St
Ste 200
Woodridge, IL 60517
Phone (630) 694-9400
3329 75th St
Fl 1
Woodridge, IL 60517
Phone (630) 646-7000
3329 75th St
Woodridge, IL 60517
Phone (630) 646-6750
Interoperability endpoints
- sjacob231855@direct.edward.org
Organizations & group practices 5
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.
-
- Specialist
- Naperville, IL
- NPI 1447501879
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Endeavor Health Medical Group
Practice addresses (Care Compare)
1200 S York Rd
Suite 1120
Elmhurst, IL 60126-5626
Phone (630) 527-3200
1200 S York St
Elmhurst, IL 60126-5626
Phone (331) 221-6636
1331 W 75TH St
Naperville, IL 60540-9311
2650 Ridge Ave
Evanston, IL 60201-1700
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197
Hospital & facility affiliations
- Edward Hospital
- Elmhurst Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1811322720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE # 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-982-3175",
"fax_number": "847-982-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3329 75TH ST FL 1",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605172700",
"telephone_number": "847-646-7000",
"fax_number": "630-548-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "SINCER",
"middle_name": "KURIAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": "085004738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.