Mridula A. Jacob, M.D.
NPI 1023491701ActiveIndividual· Allergy & Immunology· New Hartford, NY
Allergy & Immunology (M.D.) with St Josephs Medical PC and 1 other group, practicing in New Hartford, New York. In 2024 Medicare paid $19,591 for 85 patients, and Part D covered 161 of their prescriptions, 84% of them generic. Astrazeneca Pharmaceuticals LP was the largest of 15 companies reporting payments in 2025, $3,110 in all, mostly food and beverage. Lists Rome Memorial Hospital, Inc and 1 other hospital as hospital affiliations.
Overview
| NPI | 1023491701 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 30, 2015 |
| Last updated in NPPES | Oct 7, 2026 |
| Certified by provider | Oct 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Allergy & Immunology Primary | 207K00000X | 295165 | NY |
| Internal Medicine | 207R00000X | 295165 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MA); Practitioner - Allergy/Immunology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 85 |
|---|---|
| Services billed | 2,477 across 20 procedure codes |
| Paid by Medicare | $19,591 |
Part D prescriptions in 2024
| Prescriptions (claims) | 161 · 218 30-day fills |
|---|---|
| Patients | 64 |
| Total drug cost | $19,394 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Allergy/Immunology |
| Secondary specialties | Internal Medicine |
Medical groups
- St Josephs Medical PCSyracuse, NY · 382 clinicians
- Slocum Dickson Medical Group PLLCNew Hartford, NY · 81 clinicians
Hospital affiliations
- Rome Memorial Hospital, IncRome, NY
- Wynn HospitalUtica, NY
Industry payments (Open Payments)
- 2025$3,110 · 123 payments from 15 companies
- 2024$1,027 · 34 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $993.94 | 27 |
| Genzyme Corporation | $458.29 | 16 |
| Glaxosmithkline, LLC. | $412.36 | 15 |
| Novartis Pharmaceuticals Corporation | $275.66 | 19 |
| Ars Pharmaceuticals Operations, Inc. | $255.02 | 16 |
What the 2025 payments were for
- Food and Beverage$3,049 · 119 payments
- Consulting Fee$61.08 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Allergy & Immunology providers in New Hartford
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