DR. LIJI JACOB JOHN (MD) – Family Medicine Physician, NPI 1194303594
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for DR. LIJI JACOB JOHN (MD)
2704 N GALLOWAY AVE STE 103
MESQUITE, TX 751506379
Phone: (214) 660-2500
Fax: (833) 535-1076
Type: Mailing
2905 W JARVIS AVE
CHICAGO, IL 606451207
Phone: (312) 714-8204
Type: Mailing
3201 SPRINGHILL DR STE 300
NORTH LITTLE ROCK, AR 721172909
Phone: (501) 753-4132
Type: Location
3201 Springhill Dr Ste 300
North Little Rock, AR 721172909
Phone: (501) 753-4132
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($19).
Total Amount
$50
General + Research + Ownership
Payments
3
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $19 |
| Lilly USA, LLC | $18 |
| Phathom Pharmaceuticals, Inc. | $14 |
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: 2024-09-13
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 |
|---|---|---|---|---|
| I20240913002400 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Internal Medicine | WV | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| General Surgery | NJ | |
| Nurse Practitioner | TX | |
| Family Practice | TX |
Reviews
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