Jacob Pediatrics PLLC
NPI 1083059505ActiveOrganization· Nurse Practitioner, Family· Irving, TX
Nurse Practitioner, Family in Irving, Texas, registered in NPPES in May 2013. The authorized official on file is Anita Jacob-Parayil, DNP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083059505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2013 |
| Last updated in NPPES | Oct 2, 2025 |
| Certified by provider | Oct 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | 685930 | TX |
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 Part B Supplier - Clinic/Group Practice (TX) |
|---|
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