LESLIE JACOB (MD) – Gastroenterology Physician, NPI 1679647697
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
Provider Addresses for LESLIE JACOB (MD)
3610 YACHT CLUB DR APT 1202
AVENTURA, FL 331803546
Phone: (561) 756-5606
Type: Location
701 W Cocoa Beach Cswy
Cocoa Beach, FL 329315595
Phone: (321) 868-5871
Fax: (321) 868-5852
Type: Location
824 N Military Hwy Ste 100
Norfolk, VA 235023652
Phone: (888) 236-2263
Fax: (750) 390-4551
Type: Location
3610 Yacht Club Dr Apt 1202
Aventura, FL 331803546
Phone: (561) 756-5606
Type: Location
4200 SUN N LAKE BLVD
SEBRING, FL 338721986
Phone: (863) 402-3103
Fax: (863) 402-5339
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-12-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20040113000306 | I | Gastroenterology | FL | TBD |
| I20240226003660 | I | Gastroenterology | VA | TBD |
| I20240423000990 | I | Certified Registered Nurse Anesthetist (Crna) | SC | TBD |
| I20240906002769 | I | Gastroenterology | SC | TBD |
| I20251224000230 | I | Gastroenterology | IN | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | 14 | $0 |
Insurance plans in this area (ZIP 33180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| General Surgery | FL | |
| Internal Medicine | FL | |
| - | FL | |
| - | FL | |
| Physical Medicine And Rehabilitation | FL | |
| Family Practice | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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