Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689830127 Individual Practitioner Female Practitioner

Dr. Shelby Jacob , MD

Pediatrics • Fort Worth, TX

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Shelby Jacob, MD is a registered healthcare professional specializing in Pediatrics in Fort Worth, TX. Official NPI practice address is registered at 9840 N BEACH ST.

Practice Location & Contact Primary Location

Practice Address

9840 N Beach St

Fort Worth, TX 762446184

Telephone 8174313898
Fax 8173791161
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
174 Specialists

Practicing in Fort Worth, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX N3768

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 036.121495

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1073863882

Registered Nurse, MNSC, Advanced Practice Registered Nurse, Certified Pediatric Nurse Practitioner

Mercedes Day , RN, MSN, FNP-C

Nurse Practitioner - Pediatrics

NPI 1366727083

Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner (Certified)

Staci Lopez-Vergara , CPNP

Nurse Practitioner - Pediatrics

NPI 1407191323

Certified Pediatric Nurse Practitioner

NPI 1457432924

Doctor of Osteopathic Medicine (D.O.)

NPI 1457568941

Doctor of Medicine (M.D.)

NPI 1487735957

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address May 07, 2021

Registered at PO BOX 733784, DALLAS, TX 753733784 (Tel: 6828851855)

NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2017

Registered at 9840 N BEACH ST, FORT WORTH, TX 762446184 (Tel: 8174313898)

📍
Updated Business Mailing Address October 10, 2017

Registered at PO BOX 99371, FORT WORTH, TX 761990371 (Tel: 6828851855)

👤
Provider Name / Credentials Updated October 10, 2017

Recorded as SHELBY JACOB, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

Pediatrics (License #N3768 in TX)

NPI Profile Active October 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2015

Registered at 4300 HERITAGE TRACE PKWY, FORT WORTH, TX 762449127 (Tel: 8174313898)

📍
Updated Business Mailing Address October 21, 2015

Registered at PO BOX 99371, FORT WORTH, TX 761990371 (Tel: 6828851855)

👤
Provider Name / Credentials Updated October 21, 2015

Recorded as SHELBY JACOB, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2015

Pediatrics (License #N3768 in TX)

🟢
Initial NPI Registration & Enumeration August 04, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689830127
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2008
Last Update: May 07, 2021
Sole Proprietor: No

Mailing Address

Po Box 733784

Dallas, TX 753733784

Phone: 6828851855

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.