NEDA JOBY – Physician Assistant, NPI 1639780380

NEDA JOBY is a healthcare provider. based in Northlake, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA15894 (TX). The NPI Number for NEDA JOBY is 1639780380

Main info

Female
5 Years Of Experience
Name
NEDA JOBY
NPI
1639780380
Phone
(940) 222-5215
Address
1234 Fm 407 W Ste 200
Enumeration Date
14 August 2020
Last Update Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9402225215
Graduation Year
2021 (5 years ago)
PAC ID
2769858331
Group Practice PAC ID
0547616625
Professional Enrollment ID
I20221022000214
Address ID
TX750224800FL2400XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for NEDA JOBY

  • 1234 Fm 407 W Ste 200

    Northlake, TX 762265734

    Phone: (940) 222-5215

    Type: Location

  • MEDEX NORTHWEST

    4311 11TH AVENUE NE, SUITE 200

    SEATTLE, WA 98105

    Phone:

    Type: Mailing

  • 1521 13TH ST

    ARGYLE, TX 762261983

    Phone:

    Type: Mailing

  • 1301 N BEACH ST

    FORT WORTH, TX 761116613

    Phone: (817) 831-3388

    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: 2022-10-22

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
I20221022000214IPhysician AssistantTXTBD

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
99204New patient office or other outpatient visit, 45-59 minutes3838$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1818$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
99214Established patient office or other outpatient visit, 30-39 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 76226)

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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: 0547616625View full group profile
NameSpecialtyState
Family PracticeTN
Family PracticeWA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeGA
Physician AssistantWA
Family PracticeTX

Reviews

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Frequently asked questions

What is NEDA JOBY's NPI number?
NEDA JOBY's NPI is 1639780380 — the number used across U.S. healthcare to identify this provider.
Is NEDA JOBY still an active registrant?
NEDA JOBY carries an active NPI according to the public dataset.
What clinical focus is listed for NEDA JOBY?
At a glance, NEDA JOBY is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Texas is NEDA JOBY registered?
Use Northlake, Texas as the headline location for NEDA JOBY here.
Does NEDA JOBY accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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