Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Selvin Sam Jacob, MD

Individual provider Pulmonary Disease Physician · NPI 1073040333

Dr. Selvin Sam Jacob, MD is a Pulmonary Disease in Boston, Massachusetts. Qualified in 2017, 9 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group, works from 6 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts, Pennsylvania and Rhode Island.

Years since qualifying
9
Licensed in
MA, PA, RI
In the registry since
2017
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 Parkman St
Boston, MA 02114-2696
Phone: (617) 726-1721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 55 Fruit Street, Boston, MA 02114-2696 — (617) 726-1721
  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-5000
  • 1153 Centre St, Jamaica Plain, MA 02130-3446 — (617) 983-7000
  • 230 N Broad St, Philadelphia, PA 19102-1121 — (215) 762-2632
  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 737-7010

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 1016275 (MA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence MD19461 (RI)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence MD19461 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT213402 (PA)

Record details

NPI number1073040333
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2017
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address75 Francis St, Boston, MA 02115-6110

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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