DR. JACKELINE IACOVELLA (MD) – Infectious Disease Physician, NPI 1174660195

DR. JACKELINE IACOVELLA (MD) is a healthcare provider. based in Drexel hill, Pennsylvania. specializing in INFECTIOUS DISEASE. They hold the professional credentials MD. They hold a License No. MD057529L (PA). The NPI Number for DR. JACKELINE IACOVELLA (MD) is 1174660195

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACKELINE IACOVELLA (MD)
NPI
1174660195
Phone
(610) 622-8900
Address
2100 KEYSTONE AVE
Enumeration Date
31 January 2007
Last Update Date
21 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6108960210
Graduation Year
1989 (37 years ago)
PAC ID
3971586223
Group Practice PAC ID
2365421161
Professional Enrollment ID
I20040609000442
Address ID
PA190963434WY100XXAVEX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

568 INFECTIOUS DISEASE in PA

Provider Addresses for DR. JACKELINE IACOVELLA (MD)

  • 2100 KEYSTONE AVE

    SUITE 406

    DREXEL HILL, PA 190261129

    Phone: (610) 622-8900

    Fax: (610) 622-8904

    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: 2004-06-09

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
I20040609000442IInfectious DiseasePATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes636282$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes346318$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes202149$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5550$0
99214Established patient office or other outpatient visit, 30-39 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 19026)

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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: 2365421161View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineNC
Infectious Disease, Internal MedicinePA
Nurse PractitionerPA
-PA
Infectious Disease, Internal MedicinePA
-PA
Infectious Disease, Internal MedicinePA
Internal Medicine, Infectious DiseaseNY
Infectious Disease, Internal MedicinePA
Infectious DiseasePA

Reviews

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Frequently asked questions

What number should I use to identify DR. JACKELINE IACOVELLA (MD) for billing?
Administrative and clinical systems typically use NPI 1174660195 for DR. JACKELINE IACOVELLA (MD).
Is DR. JACKELINE IACOVELLA (MD)'s NPI status active today?
Active status means DR. JACKELINE IACOVELLA (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. JACKELINE IACOVELLA (MD) does?
Insurance directories may phrase it differently, but here DR. JACKELINE IACOVELLA (MD) maps to Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Is DR. JACKELINE IACOVELLA (MD) tied to Drexel Hill, Pennsylvania?
If you are local to Drexel Hill, Pennsylvania, DR. JACKELINE IACOVELLA (MD) may be relevant to your search.
Who maintains DR. JACKELINE IACOVELLA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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