DEXTER DOROMAL JACOB M.D. NPI 1306112644

NPI Information

  • NPI: 1306112644
  • Provider Name: DEXTER DOROMAL JACOB, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 609 W GERMANTOWN PIKE STE 120
    EAST NORRITON, PA
    ZIP 19403
  • Phone: (610) 279-1370

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NPI Details

Dexter Doromal Jacob, M.D. is an interventional cardiology internal medicine in East Norriton, PA with 14 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Dexter Doromal Jacob, M.D. NPI is 1306112644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

609 W GERMANTOWN PIKE STE 120
EAST NORRITON, PA
ZIP 19403-243
Phone: (610) 279-1370
Fax: (610) 279-1372

The NPI 1306112644 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Injection, dipyridamole, per 10 mg (HCPCS:J1245)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan (HCPCS:78431)
  • Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries (HCPCS:A9555)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Technetium tc-99m tetrofosmin, diagnostic, per study dose (HCPCS:A9502)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 3/30/2012 and was last updated on 7/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseMD459805PENNSYLVANIANo
2207RI0011XInternal MedicineInterventional CardiologyMD459805PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11037689880003MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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