Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699161273 Individual Practitioner Female Practitioner

Dr. Surya Jacob , MD

Pediatrics • Richmond, TX

Professional Overview & Biography Verified Profile Summary

Dr. Surya Jacob, MD is a registered healthcare professional specializing in Pediatrics in Richmond, TX. Practice services are available at 18440 W AIRPORT BLVD STE 350 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18440 W Airport Blvd Ste 350

Richmond, TX 774075100

Telephone 2812408374
Fax 2812089504
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Richmond, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Richmond, 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: 2024-01-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX R8018

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
386566901 (TX)

Secondary Practice Locations

20303 S University Blvd Ste 101

Missouri City, TX 774593662

Phone: 2812089503

2940 Eldridge Pkwy

Houston, TX 770826878

Phone: 7134426800

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1013234764

Doctor of Medicine (M.D.)

NPI 1043349756

Doctor of Medicine (M.D.)

NPI 1346219292

Doctor of Medicine (M.D.)

NPI 1467488908

Doctor of Medicine (M.D.)

NPI 1982950259

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 January 26, 2024

Registered at 11511 SHADOW CREEK PKWY, PEARLAND, TX 775847298 (Tel: 7134420000)

📍
Updated Practice Location February 03, 2023

Registered at 18440 W AIRPORT BLVD STE 350, RICHMOND, TX 774075100 (Tel: 2812408374)

📍
Updated Business Mailing Address February 03, 2023

Registered at 20303 S UNIVERSITY BLVD STE 101, MISSOURI CITY, TX 774593662 (Tel: 2812089503)

📍
Updated Practice Location July 31, 2018

Registered at 1301 MEMORIAL DR, BRYAN, TX 77802 (Tel: 9797314520)

📍
Updated Business Mailing Address July 31, 2018

Registered at 1500 UNIVERSITY DR E STE 100, COLLEGE STATION, TX 778402600 (Tel: 9793832340)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2018

Pediatrics (License #R8018 in TX)

NPI Profile Active April 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2015

Registered at 1400 S COULTER ST, AMARILLO, TX 791061786 (Tel: 8064149900)

📍
Updated Business Mailing Address April 10, 2015

Registered at 1400 S COULTER ST, AMARILLO, TX 791061786

👤
Provider Name / Credentials Updated April 10, 2015

Recorded as SURYA JACOB, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 10, 2015

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: 1699161273
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2015
Last Update: January 26, 2024
Sole Proprietor: No

Mailing Address

11511 Shadow Creek Pkwy

Pearland, TX 775847298

Phone: 7134420000

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.