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

Shancy Jacob, DO

Individual provider Nephrology Physician · NPI 1194031641

Shancy Jacob, DO is a Nephrology in Sugar Land, Texas. Qualified in 2009, 17 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Texas.

Years since qualifying
17
Licensed in
KS, TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7616 Branford Pl Ste 220
Sugar Land, TX 77479-3794
Phone: (713) 530-3585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 311 E Spruce St, Garden City, KS 67846-5614 — (620) 271-3190

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence P2010 (TX)
Nephrology Physician Taxonomy 207RN0300X · Licence 05-53422 (KS)

Record details

NPI number1194031641
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 22, 2010
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address2895 Ragusa Ln, League City, TX 77573-6130

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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