MS. DIANA MARY JACOB PA-C NPI 1801336524

NPI Information

  • NPI: 1801336524
  • Provider Name: MS. DIANA MARY JACOB, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 129 W 9TH ST
    DALLAS, TX
    ZIP 75208
  • Phone: (214) 941-0032

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NPI Details

MS. Diana Mary Jacob, PA-C is a physician assistant in Dallas, TX. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MS. Diana Mary Jacob, PA-C NPI is 1801336524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

129 W 9TH ST
DALLAS, TX
ZIP 75208-416
Phone: (214) 941-0032
Fax: (214) 580-3514

The NPI 1801336524 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Bacterial colony count, urine (HCPCS:87086)
  • Hemoglobin a1c level (HCPCS:83036)
  • Automated urinalysis test (HCPCS:81003)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Vitamin d-3 level (HCPCS:82306)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Iron level (HCPCS:83540)
  • Iron binding capacity (HCPCS:83550)
  • Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
  • Bacterial culture for aerobic isolates (HCPCS:87077)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 2/28/2017 and was last updated on 11/25/2019.

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
1363A00000XPhysician AssistantPA11109TEXASYes

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
1567256YL7AMEDICAIDTEXAS
2567259YL7BMEDICAIDTEXAS
3567258YNGSMEDICAIDTEXAS

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: 3/30/2025

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