ANTONY THEKKUMPURAM JACOB (MD) – Physical Medicine & Rehabilitation Physician, NPI 1609871417

ANTONY THEKKUMPURAM JACOB (MD) is a healthcare provider. based in Dayton, Ohio. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials MD. They hold a License No. 35.058320 (OH). The NPI Number for ANTONY THEKKUMPURAM JACOB (MD) is 1609871417

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
ANTONY THEKKUMPURAM JACOB (MD)
NPI
1609871417
Phone
(937) 208-2020
Address
30 E APPLE ST
Enumeration Date
17 June 2005
Last Update Date
18 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372082020
Graduation Year
1976 (50 years ago)
PAC ID
2264410380
Group Practice PAC ID
5597708594
Professional Enrollment ID
I20100115000447
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

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Provider Addresses for ANTONY THEKKUMPURAM JACOB (MD)

  • 30, East Apple Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States

    STE L200

    DAYTON, OH 454092932

    Phone: (937) 208-2020

    Fax: (937) 208-2109

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 45409)

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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: 5597708594View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryOH
Physician AssistantOH
-OH
Cardiovascular Disease (Cardiology)OH
-OH
Physician AssistantOH
Thoracic SurgeryPA
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

Can I cross-check ANTONY THEKKUMPURAM JACOB (MD) using NPI 1609871417?
NPI 1609871417 belongs to ANTONY THEKKUMPURAM JACOB (MD); compare other details if you need extra assurance.
Active or inactive — what applies to ANTONY THEKKUMPURAM JACOB (MD)?
You should see ANTONY THEKKUMPURAM JACOB (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for ANTONY THEKKUMPURAM JACOB (MD)?
At a glance, ANTONY THEKKUMPURAM JACOB (MD) is tied to Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is ANTONY THEKKUMPURAM JACOB (MD) registered?
Use Dayton, Ohio as the headline location for ANTONY THEKKUMPURAM JACOB (MD) here.
Can I trust this NPI listing for ANTONY THEKKUMPURAM JACOB (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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