DEBORAH JEBAKUMAR – Anatomic Pathology & Clinical Pathology Physician, NPI 1104290154

DEBORAH JEBAKUMAR is a healthcare provider. based in Dallas, Texas. specializing in PATHOLOGY. They hold a License No. 47085 (TX). The NPI Number for DEBORAH JEBAKUMAR is 1104290154

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH JEBAKUMAR
NPI
1104290154
Phone
(254) 724-2111
Address
PO BOX 844658
Enumeration Date
13 November 2015
Last Update Date
6 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2144562383
Graduation Year
2007 (19 years ago)
PAC ID
2264863166
Group Practice PAC ID
0648188250
Professional Enrollment ID
I20200508002029
Address ID
TX752357701DA1935XDRXX400

Contacts

Secure Messaging
djebakumar80575@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

1,395 PATHOLOGY in TX

Provider Addresses for DEBORAH JEBAKUMAR

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • 2405 S CLEAR CREEK RD

    KILLEEN, TX 765495775

    Phone: (254) 618-1888

    Fax: (254) 519-5264

    Type: Location

  • Department Of Pathology Scott & White Health

    2401 S. 31st Street, MS-01-266

    Temple, TX 765080001

    Phone: (254) 724-7354

    Fax: (254) 724-6329

    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: 2020-05-08

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
I20200508002029IPathologyTXTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity744406$0
88341Special stained specimen slides to examine tissue, each additional procedure26454$0
88342Special stained specimen slides to examine tissue, initial procedure141132$0
88173Evaluation of fine needle aspirate with interpretation and report10869$0
88112Cell examination of specimen, selective cellular enhancement technique10298$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 0648188250View full group profile
NameSpecialtyState
-TX
Diagnostic RadiologyTX
Anesthesiology, Pain ManagementFL
-TX
Internal MedicineTX
-TX
U R O L O G YTX
-TX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I use this page to confirm DEBORAH JEBAKUMAR's NPI?
Yes. DEBORAH JEBAKUMAR is listed with NPI 1104290154 in the public NPI dataset.
Can I rely on DEBORAH JEBAKUMAR being an active provider?
As of the registry snapshot, DEBORAH JEBAKUMAR is marked active.
What healthcare role does DEBORAH JEBAKUMAR hold?
Scheduling teams often label DEBORAH JEBAKUMAR under Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does DEBORAH JEBAKUMAR list a practice location?
Patients near Dallas, Texas may find DEBORAH JEBAKUMAR in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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