DR. MRIDULA A JACOB (M.D.) – Allergy & Immunology Physician, NPI 1023491701
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
201 ALLERGY/IMMUNOLOGY in MA
Provider Addresses for DR. MRIDULA A JACOB (M.D.)
280 CHESTNUT STREET
2ND FLOOR
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
759 CHESTNUT STREET
SPRINGFIELD, MA 011071619
Phone: (413) 794-6297
Fax: (413) 794-1767
Type: Location
1729 BURRSTONE RD
NEW HARTFORD, NY 134131001
Phone: (315) 798-1434
Fax: (315) 798-1461
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,420.
Total Amount is formed as General ($1,420) + Research ($0) + Ownership ($0) = $1,420.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($424).
Total Amount
$1,420
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,420
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $424 |
| GlaxoSmithKline, LLC. | $219 |
| CSL Behring | $156 |
| Amgen Inc. | $113 |
| SANOFI-AVENTIS U.S. LLC | $100 |
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: 2019-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180829000449 | I | Allergy/Immunology | NY | TBD |
| I20190122003099 | I | Internal Medicine | MA | 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 | 183 | 82 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 47 | 27 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 35 | 35 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 16 | 11 | $0 |
Insurance plans in this area (ZIP 01199)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Family Practice | NY | |
| Family Practice | NY | |
| Physician Assistant | NY | |
| - | NY | |
| Nurse Practitioner | NY | |
| Cardiovascular Disease (Cardiology) | NY | |
| - | NY | |
| Physician Assistant | FL | |
| Nurse Practitioner | NY |
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