DR. JULIE ANN JACOB (MD) – Emergency Medicine Physician, NPI 1881864890
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JULIE ANN JACOB (MD)
Centinela Hospital Medical Center, 555, East Hardy Street, Inglewood, Los Angeles County, California, 90301, United States
INGLEWOOD, CA 903014011
Phone: (310) 673-4660
Fax: (310) 963-0403
Type: Location
337, 88th Street, Fort Hamilton, Brooklyn, Kings County, New York, 11209, United States
APT 2B
NEW YORK, NY 101284952
Phone: (917) 583-5648
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-06-29 • Largest payer in this snapshot: Novo Nordisk Inc ($120).
Total Amount
$142
General + Research + Ownership
Payments
2
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $120 |
| Gilead Sciences, Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080716000844 | I | Emergency Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 98 | 95 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 71 | 71 | $0 |
| 99291 | Critical care, first 30-74 minutes | 44 | 43 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 16 | 16 | $0 |
Insurance plans in this area (ZIP 90301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | CA | 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| - | CA | |
| Emergency Medicine | CA | |
| - | ME | |
| - | IL | |
| Physician Assistant | CA | |
| Emergency Medicine | MO | |
| Emergency Medicine | MI | |
| Emergency Medicine | CA | |
| - | CA |
Reviews
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