Active NPI
Jacob Chemmalakuzhy, M.D.
- Cardiovascular Disease Physician
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- M3986
- Practice address
- 6750 N Macarthur Blvd
Ste 201
Irving, TX 75039-2470 - Phone
- (972) 428-3298
- NPI assigned
- Jul 17, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2002010037 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | 2002010037 | MO | |
| Interventional Cardiology Physician | 207RI0011X | 2002010037 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | M3986 | TX | Primary |
Addresses
Primary practice location
6750 N Macarthur Blvd
Ste 201
Irving, TX 75039-2470
Mailing address
6750 N Macarthur Blvd Ste 201
Irving, TX 75039-2470
Phone (469) 963-0656
Other practice location 1
7200 State Highway 161 Ste 230
Irving, TX 75039-3829
Phone (972) 969-2070
Other practice location 2
7777 Forest Ln Ste C300J
Dallas, TX 75230-2604
Phone (972) 566-7050
Other practice location 3
1600 Coit Rd Ste 308
Plano, TX 75075-6173
Phone (972) 566-7050
Other practice location 4
1600 Coit Rd Ste 306
Plano, TX 75075-6172
Phone (972) 566-7050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181302403 | Medicaid | TX | |
| 181302402 | Medicaid | TX | |
| 181302404 | Medicaid | TX |
Other names 1
- Dr. Jake Chemmalakuzhy
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JACOB.CHEMMALAKUZHY@hca7.eclinicaldirectplus.com | ||
| Direct Messaging Address | info@specializedheartcare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Missouri, Kansas City, School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6750 N Macarthur Blvd
Suite 201
Irving, TX 75039-2470
Phone (972) 428-3298
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 14 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M3986 | TX | MD | Cardiovascular Disease Physician |
| 2002010037 | MO | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Heart Care, PLLC. | Cardiovascular Disease | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Precision Monitoring LLC | Current | Accepting new patients | |
| Speed of Light Ultrasound, LLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Skokie Emergency Services, LLC | Past | Accepting new patients | |
| Park Cities Dermatology, PA | Past | Accepting new patients |
Locations
820 SW Wilshire Blvd
Burleson, TX 76028
Phone (800) 341-1043
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
6750 N MacArthur Blvd
Ste 201
Irving, TX 75039
Phone (972) 428-3298
1110 Cottonwood Ln
Ste 105
Irving, TX 75038
Phone (972) 607-2525
1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- jacob.chemmalakuzhy@hca7.eclinicaldirectplus.com
Ownership & related parties
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Baylor Scott & White the Heart Hospital - Plano | Hospital | General Partnership Interest | Jul 24, 2012 |
| Baylor Scott & White the Heart Hospital - Denton | Hospital | General Partnership Interest | Jul 24, 2012 |
| Baylor Scott & White the Heart Hospital Rehabilitation | Hospital | General Partnership Interest | Nov 1, 2024 |
| Baylor Scott & White the Heart Hospital - Corinth | Hospital | General Partnership Interest | Nov 1, 2024 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Baylor Scott & White the Heart Hospital - Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
General Partnership Interest
-
dba Baylor Scott & White The Heart Hospital Rehabilitation
- Rehabilitation Hospital Unit
- Denton, TX
- NPI 1033938451
General Partnership Interest
-
dba Baylor Scott & White the Heart Hospital - Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1194753590
General Partnership Interest
-
dba Baylor Scott & White The Heart Hospital - Corinth
- General Acute Care Hospital
- Denton, TX
- NPI 1669213831
General Partnership Interest
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Irving, TX
- NPI 1134750995
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Physiological Laboratory
- Burleson, TX
- NPI 1992156020
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Tyler, TX
- NPI 1730680489
-
dba Dermatology Office
- Procedural Dermatology Physician
- Dallas, TX
- NPI 1871527531
-
- Physician Assistant
- Skokie, IL
- NPI 1750349494
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Las Colinas
- General Acute Care Hospital
- Irving, TX
- NPI 1902857766
-
dba Baylor Scott & White the Heart Hospital - Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1992723241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 N MACARTHUR BLVD STE 201",
"city": "IRVING",
"state": "TX",
"postal_code": "750392470",
"telephone_number": "469-963-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 N MACARTHUR BLVD",
"address_2": "STE 201",
"city": "IRVING",
"state": "TX",
"postal_code": "750392470",
"telephone_number": "972-428-3298"
}
],
"practiceLocations": [
{
"address_1": "7200 State Highway 161 Ste 230",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750393829",
"country_code": "US",
"telephone_number": "972-969-2070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7777 Forest Ln Ste C300J",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752302604",
"country_code": "US",
"telephone_number": "972-566-7050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Coit Rd Ste 308",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750756173",
"country_code": "US",
"telephone_number": "972-566-7050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Coit Rd Ste 306",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750756172",
"country_code": "US",
"telephone_number": "972-566-7050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEMMALAKUZHY",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2002010037",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2002010037",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MO",
"license": "2002010037",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "M3986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181302403",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181302402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181302404",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JACOB.CHEMMALAKUZHY@hca7.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "7777 Forest Ln Ste C300J",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752302604",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@specializedheartcare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6750 N MACARTHUR BLVD",
"address_2": "STE 201",
"city": "IRVING",
"state": "TX",
"country_code": "US",
"postal_code": "750392470",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JAKE",
"last_name": "CHEMMALAKUZHY",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.