Individual provider Active NPI

Jacob Chemmalakuzhy, M.D.

  • Cardiovascular Disease Physician
  • Irving, TX
National Provider Identifier
1992723241
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M3986 Issued in TX
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

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
181302403MedicaidTX
181302402MedicaidTX
181302404MedicaidTX

Other names 1

  • Dr. Jake Chemmalakuzhy Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060809000162 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880697036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
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

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3986TXMDCardiovascular Disease Physician
2002010037MOMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Heart Care, PLLC. Cardiovascular Disease CurrentSince Feb 1, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 1, 2010 Accepting new patients
Precision Monitoring LLC CurrentSince Jun 30, 2016 Accepting new patients
Speed of Light Ultrasound, LLC CurrentSince Apr 4, 2023 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Healthtexas Provider Network CurrentSince Sep 1, 2010 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest Jul 24, 2012
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest Jul 24, 2012
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 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.

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.

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": "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

Verify at the official NPI Registry.