Glen Mirandilla Jacob, MD
NPI 1780757062ActiveIndividual· Internal Medicine· Largo, MD
Internal Medicine (MD) with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, practicing in Largo, Maryland. Their prescriptions cost Medicare Part D more than their services did: $537,387 for 11,080 claims, against $20,421 paid for services in 2024.
Overview
| NPI | 1780757062 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 16, 2006 |
| Last updated in NPPES | Feb 23, 2022 |
| Certified by provider | Feb 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | D59633 | MD |
| Internal Medicine | 207R00000X | MD034269 | DC |
| Internal Medicine | 207R00000X | 9880 | NM |
| Internal Medicine, Geriatric Medicine | 207RG0300X | D59633 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (DC); Practitioner - Geriatric Medicine (MD); Practitioner - Internal Medicine (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 288 across 22 procedure codes |
| Paid by Medicare | $20,421 |
Part D prescriptions in 2024
| Prescriptions (claims) | 11,080 · 27,106 30-day fills |
|---|---|
| Patients | 767 |
| Total drug cost | $537,387 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Kaiser Foundation Health Plan of the Mid Atlantic States, IncLargo, MD · 1,899 clinicians
Other facilities
- Adoration Home Health MarlboroHome health agency · Upper Marlboro, MD
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other internal medicine physicians in Largo
- 1043209331
- 1205994266
- 1417018789
- 1528028297
- 1679821458
- 1699764977
- 1992265995
- 1316673924
- 1316689292
- 1407596364
- 1457093346
- 1063540045
All 42 internal medicine physicians in Largo · All internal medicine physicians in Maryland