NPIMap

Individual provider Active NPI

Cimy Susan Jacob, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Lemoyne, PA
National Provider Identifier
1912293184
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
C1-0010960 Issued in DE
Practice address
Upmc Childrens Specialist- Neurology
3 Walnut Street, Suite 205
Lemoyne, PA 17043-1168
Phone
(717) 988-0090
Fax
(717) 221-5320
NPI assigned
Jun 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X C1-0010960 DE Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD475318 PA

Addresses

Primary practice location

Upmc Childrens Specialist- Neurology
3 Walnut Street, Suite 205
Lemoyne, PA 17043-1168

Mailing address

Upmc Childrens Specialist- Neurology
3 Walnut Street, Suite 205
Lemoyne, PA 17043-1168
Phone (717) 988-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819000353 PA Practitioner - NeurologyPractitioner - Pediatric Medicine 2365661519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pediatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

3 Walnut Street
205 Upmc Children'S Specialists Allergy
Lemoyne, PA 17043-1168
Phone (717) 988-0090

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2021 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

3 Walnut St
Ste 205
Lemoyne, PA 17043
Phone (717) 909-0520

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Interoperability endpoints

  • Direct secure messaging: cjacob291682@upmc.direct-ci.com

Organizations & group practices 7

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": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1912293184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UPMC CHILDRENS SPECIALIST- NEUROLOGY",
            "address_2": "3 WALNUT STREET, SUITE 205",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431168",
            "telephone_number": "717-988-0090",
            "fax_number": "717-221-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPMC CHILDRENS SPECIALIST- NEUROLOGY",
            "address_2": "3 WALNUT STREET, SUITE 205",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431168",
            "telephone_number": "717-988-0090",
            "fax_number": "717-221-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "CIMY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-25",
        "last_updated": "2026-09-03",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "DE",
            "license": "C1-0010960",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PA",
            "license": "MD475318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

Verify at the official NPI Registry.