MR. JACOB KANJUPARAMBAN (A.A.) – Anesthesiologist Assistant, NPI 1356338578

MR. JACOB KANJUPARAMBAN (A.A.) is a healthcare provider. based in Toledo, Ohio. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials A.A.. They hold a License No. 67000106 (OH). The NPI Number for MR. JACOB KANJUPARAMBAN (A.A.) is 1356338578

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACOB KANJUPARAMBAN (A.A.)
NPI
1356338578
Phone
(419) 419-3556
Address
3355 GLENDALE AVE FL 3
Enumeration Date
3 October 2005
Last Update Date
9 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4193833578
Graduation Year
1998 (28 years ago)
PAC ID
3173598109
Group Practice PAC ID
8729983416
Professional Enrollment ID
I20040901000623
Address ID
OH436142595TO3000XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

424 ANESTHESIOLOGY ASSISTANT in OH

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Provider Addresses for MR. JACOB KANJUPARAMBAN (A.A.)

  • Glendale Avenue, Harvard Village, Toledo, Lucas County, Ohio, 43609, United States

    TOLEDO, OH 436142426

    Phone: (419) 419-3556

    Fax: (419) 383-3550

    Type: Mailing

  • 3000, Arlington Avenue, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436142595

    Phone: (419) 383-3556

    Fax: (419) 383-3550

    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: 2004-09-01

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
I20040901000623IAnesthesiology AssistantOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope2727$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2626$0
View full utilization report →

Insurance plans in this area (ZIP 43614)

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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: 8729983416View full group profile
NameSpecialtyState
-OH
P A T H O L O G YOH
General Surgery, Critical Care (Intensivists)MI
-OH
Nurse PractitionerOH
-OH
-OH
General SurgeryME
Vascular Surgery, General SurgeryMN
-OH

Reviews

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Frequently asked questions

What identifier follows MR. JACOB KANJUPARAMBAN (A.A.) across health systems?
The NPI 1356338578 uniquely identifies MR. JACOB KANJUPARAMBAN (A.A.) in U.S. healthcare data.
Quick check: is MR. JACOB KANJUPARAMBAN (A.A.) active?
Public NPPES data shows MR. JACOB KANJUPARAMBAN (A.A.) with an active NPI status right now.
How should patients interpret MR. JACOB KANJUPARAMBAN (A.A.)'s specialty?
The extract shows Anesthesiologist Assistant for MR. JACOB KANJUPARAMBAN (A.A.). Clinical services aligned with this taxonomy classification.
Is MR. JACOB KANJUPARAMBAN (A.A.) tied to Toledo, Ohio?
If you are local to Toledo, Ohio, MR. JACOB KANJUPARAMBAN (A.A.) may be relevant to your search.
Can I export MR. JACOB KANJUPARAMBAN (A.A.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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