JAKOB PUGI (MD) – Pediatric Otolaryngology Physician, NPI 1578344990

JAKOB PUGI (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 119163 (ZZ). The NPI Number for JAKOB PUGI (MD) is 1578344990

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JAKOB PUGI (MD)
NPI
1578344990
Phone
(617) 355-6000
Address
300 LONGWOOD AVE
Enumeration Date
11 October 2023
Last Update Date
9 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173556000
Graduation Year
2019 (7 years ago)
PAC ID
1153849096
Group Practice PAC ID
9234102526
Professional Enrollment ID
I20250515000445
Address ID
MA021155724BO300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:2State licenses:2Digital endpointsOther names

392 OTOLARYNGOLOGY in MA

Provider Addresses for JAKOB PUGI (MD)

  • 300 LONGWOOD AVE

    BOSTON, MA 021155724

    Phone: (617) 355-6000

    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)

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: 2025-05-15

PECOS data refreshed: 2026-06-15

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
I20250515000445IOtolaryngologyMATBD

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 02115)

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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: 9234102526View full group profile
NameSpecialtyState
-MA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
-PA
O T O L A R Y N G O L O G YMA
Physician AssistantMA
O T O L A R Y N G O L O G YMA
-MA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YQUEBEC

Reviews

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Frequently asked questions

What is JAKOB PUGI (MD)'s NPI number?
JAKOB PUGI (MD)'s NPI is 1578344990 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JAKOB PUGI (MD)?
For scheduling context, JAKOB PUGI (MD) is shown as active in the registry.
What clinical focus is listed for JAKOB PUGI (MD)?
At a glance, JAKOB PUGI (MD) is tied to Pediatric Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JAKOB PUGI (MD)?
Travel planning: use Boston, Massachusetts as the reference point for JAKOB PUGI (MD), then confirm.
When was this NPI issued?
Enumeration for JAKOB PUGI (MD) is noted as October 11, 2023 where the registry provides it.

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