JACOB KAGAN (M.D.) – Psychiatry Physician, NPI 1336282565

JACOB KAGAN (M.D.) is a healthcare provider. based in Chelmsford, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 234622 (MA). The NPI Number for JACOB KAGAN (M.D.) is 1336282565

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JACOB KAGAN (M.D.)
NPI
1336282565
Phone
(978) 250-6240
Address
228 BILLERICA RD
Enumeration Date
15 February 2007
Last Update Date
17 August 2021

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
9785566286
Graduation Year
2005 (21 years ago)
PAC ID
7416001920
Group Practice PAC ID
7416291232
Professional Enrollment ID
I20090818000766
Address ID
MA018305814HA76XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,743 PSYCHIATRY in MA

Provider Addresses for JACOB KAGAN (M.D.)

  • 228 BILLERICA RD

    CHELMSFORD, MA 018243604

    Phone: (978) 250-6240

    Fax: (978) 244-6684

    Type: Mailing

  • 30 WINTER ST

    BOSTON, MA 021084720

    Phone: (978) 250-6240

    Type: Mailing

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: 2009-08-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090818000766IPsychiatryMATBD

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.

Verify on CMS Revalidation Lookup Tool

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 01824)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416291232View full group profile
NameSpecialtyState
Nurse PractitionerNH
P S Y C H I A T R YMA
Nurse PractitionerMA
P S Y C H I A T R YMA
P S Y C H I A T R YMA

Reviews

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Frequently asked questions

Is there an official ID for JACOB KAGAN (M.D.) in U.S. healthcare records?
The official identifier for JACOB KAGAN (M.D.) is NPI 1336282565.
Is JACOB KAGAN (M.D.) shown as active in public data?
Registry records indicate JACOB KAGAN (M.D.) maintains an active NPI.
What clinical focus is listed for JACOB KAGAN (M.D.)?
At a glance, JACOB KAGAN (M.D.) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is JACOB KAGAN (M.D.) associated with Chelmsford?
Public fields place JACOB KAGAN (M.D.) around Chelmsford, Massachusetts. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JACOB KAGAN (M.D.) is noted as February 15, 2007 where the registry provides it.

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