Individual provider

Shushan Jacob, MD

Surgery of the Hand (Surgery) Physician Surgery Physician Medicare enrolled

Shushan Jacob, MD is a Surgery of the Hand (Surgery) Physician in North Las Vegas, NV, registered under NPI 1114119542. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 6900 N PECOS RD, North Las Vegas, NV 89086. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

6900 N PECOS RD, North Las Vegas, NV 89086 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
N7548 TX Surgery of the Hand (Surgery) Physician primary
N7548 TX Surgery Physician

This provider holds licence N7548 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Hand Surgery
PAC ID
3072697770
Enrollment ID
I20111007000319

Medicare enrolment is recorded as approved under the provider type Practitioner - Hand Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Surgery of the Hand covers

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. NUCC Health Care Provider Taxonomy, code 2086S0105X
Allopathic & Osteopathic Physicians Surgery Surgery of the Hand

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2086S0105X Surgery of the Hand (Surgery) Physician Surgery of the Hand N7548 TX primary
208600000X Surgery Physician N7548 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1114119542 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 9, 2007
Last updatedFeb 27, 2025
StatusActive
Sole proprietorYes
CredentialMD
Practice address 6900 N PECOS RD
North Las Vegas, NV 89086
(702) 791-9000
Mailing address 2140 E SOUTHLAKE BLVD STE L-605
Southlake, TX 76092
Other identifiers 286943004 · Medicaid (TX)
286943005 · Medicaid (TX)
This record was updated on Feb 27, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1114119542 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 1 1 9 5 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 2 1 9 5 8

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114119542?
NPI 1114119542 is the National Provider Identifier assigned to Shushan Jacob, MD in North Las Vegas, NV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgery of the Hand cover?
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
How do I contact Shushan Jacob, MD?
The phone number on file with NPPES is (702) 791-9000, last updated Feb 27, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shushan Jacob, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114119542 a valid number?
Yes. 1114119542 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.