Individual provider Active NPI

Jacob T Sypher, DO

  • Obstetrics & Gynecology Physician
  • Farmington, NM
National Provider Identifier
1831518554
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO2022-0016 Issued in NM
Practice address
610 W Pinon St
Farmington, NM 87401-5974
Phone
(505) 609-2070
Fax
(505) 325-3054
NPI assigned
Apr 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO2022-0016 NM Primary
Obstetrics & Gynecology Physician 207V00000X OS020659 PA

Addresses

Primary practice location

610 W Pinon St
Farmington, NM 87401-5974

Mailing address

PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258

Other practice location 1

US Hwy 160 North
Shiprock, NM 87420
Phone (505) 368-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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

Enrollment IDStateProvider typePAC IDDetails
I20200824000533 TX Practitioner - Obstetrics/Gynecology 3476979352 Reassigns benefits to 1 organization
I20230307002475 NM Practitioner - Obstetrics/Gynecology 3476979352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Juan Regional Medical Center, Inc.Group PAC ID 4587559505, 233 clinicians

Practice addresses (Care Compare)

610 W Pinon St
SJHP OB and GYN 610
Farmington, NM 87401-5974
Phone (505) 325-1123

Hospital & facility affiliations

  • San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
78.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2022-0016NMMDObstetrics & Gynecology Physician
OS020659PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 3, 2020 Accepting new patients
San Juan Regional Medical Center Inc Obstetrics & Gynecology CurrentSince Feb 13, 2023 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Feb 13, 2023 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 3, 2020 Accepting new patients
San Juan Regional Medical Center, Inc. Past Accepting new patients
Western University of Health Sciences Past Accepting new patients

Locations

120 Llano St
Aztec, NM 87410
Phone (505) 334-3404

610 W Pinon St
Farmington, NM 87401
Phone (505) 325-1123

610 W Pinon St
#610
Farmington, NM 87401
Phone (505) 325-1123

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

Organizations & group practices 9

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 2

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1831518554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844088",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W PINON ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015974",
            "telephone_number": "505-609-2070",
            "fax_number": "505-325-3054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "US Hwy 160 North",
            "address_purpose": "LOCATION",
            "city": "Shiprock",
            "state": "NM",
            "postal_code": "87420",
            "country_code": "US",
            "telephone_number": "505-368-6001",
            "fax_number": "505-368-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYPHER",
        "first_name": "JACOB",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "DO2022-0016",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS020659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.