DR. KARIM H JACOB (MD) – Internal Medicine Physician, NPI 1639114036
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,517 INTERNAL MEDICINE in IN
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Provider Addresses for DR. KARIM H JACOB (MD)
2158, Intelliplex Drive, Shelbyville, Shelby County, Indiana, 46176, United States
SUITE 200
SHELBYVILLE, IN 461768548
Phone: (317) 392-3651
Fax: (317) 398-0538
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $589.
Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.
Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($324).
Total Amount
$589
General + Research + Ownership
Payments
21
Total payment records
General Amount
$589
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $324 |
| Vanda Pharmaceuticals Inc. | $75 |
| Amgen Inc. | $58 |
| Daiichi Sankyo Inc. | $30 |
| Insulet Corporation | $24 |
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: 2013-07-25
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 |
|---|---|---|---|---|
| I20130725000970 | I | Internal Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46176)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IL | |
| Mental Health Counselor | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Mental Health Counselor | IN | |
| U R O L O G Y | NH | |
| Nurse Practitioner | IN |
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