DR. SHUSHAN JACOB (MD) – Surgery of the Hand (Surgery) Physician, NPI 1114119542
Surgery of the Hand (Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. SHUSHAN JACOB (MD)
120, West Randol Mill Road, Arlington, Tarrant County, Texas, 76011, United States
ARLINGTON, TX 760122579
Phone: (817) 801-1503
Fax: (817) 801-1508
Type: Mailing
6900 N PECOS RD
NORTH LAS VEGAS, NV 890864400
Phone: (702) 791-9000
Type: Location
1668 KELLER PKWY STE 300
KELLER, TX 762483710
Phone: (817) 404-4811
Fax: (833) 974-2284
Type: Location
2140 E SOUTHLAKE BLVD STE L-605
SOUTHLAKE, TX 760926516
Phone: (267) 408-9036
Type: Mailing
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: 2011-10-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111007000319 | I | Hand Surgery | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 38 | 24 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 19 | $0 |
| 73130 | X-ray of hand, minimum of 3 views | 20 | 13 | $0 |
| 20550 | Injection into tendon or ligament | 16 | 14 | $0 |
Insurance plans in this area (ZIP 76012)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HAND SURGERY | TX | 73110 | X-ray of wrist, minimum of 3 views | 51 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Vascular Surgery | PA | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| Family Practice | TX |
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