DR. LIRIN JACOB (M.D.) – Internal Medicine Physician, NPI 1063830263

DR. LIRIN JACOB (M.D.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 11017670A (IN). The NPI Number for DR. LIRIN JACOB (M.D.) is 1063830263

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. LIRIN JACOB (M.D.)
NPI
1063830263
Phone
(405) 936-5800
Address
4300 W MEMORIAL RD
Enumeration Date
3 April 2014
Last Update Date
27 July 2018

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
5802290701
Graduation Year
2014 (12 years ago)
PAC ID
0244456721
Group Practice PAC ID
3375610447
Professional Enrollment ID
I20180726000520
Address ID
OK734386124HE3462XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,474 INTERNAL MEDICINE in OK

Provider Addresses for DR. LIRIN JACOB (M.D.)

  • 4300 W MEMORIAL RD

    OKLAHOMA CITY, OK 731208304

    Phone: (405) 936-5800

    Fax: (405) 936-5810

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-04-14 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-07-26

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
I20180726000520IInternal MedicineOKTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 73120)

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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: 3375610447View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Family PracticeOK
-OK
Physician AssistantOK
Internal MedicineOK
Physician AssistantOK
Nurse PractitionerOK
Internal MedicineOK

Reviews

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Frequently asked questions

What federal number belongs to DR. LIRIN JACOB (M.D.)?
The federal identifier for DR. LIRIN JACOB (M.D.) is NPI 1063830263.
Is DR. LIRIN JACOB (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. LIRIN JACOB (M.D.) treat or focus on?
Patients typically see DR. LIRIN JACOB (M.D.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. LIRIN JACOB (M.D.)'s primary listing?
We display Oklahoma City, Oklahoma because that is what the record indicates for DR. LIRIN JACOB (M.D.).
Is DR. LIRIN JACOB (M.D.) a real provider?
This page reflects official NPPES data for NPI 1063830263. Always confirm identity and privileges with the practice and licensing boards.

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