Active NPI
Richard Patrick Jacobs, M.D.
- Urology Physician
- Pittsburgh, PA
National Provider Identifier
1073572509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD013106E
- Practice address
- 5200 Centre Ave
Suite 205
Pittsburgh, PA 15232-1300 - Phone
- (412) 681-6632
- Fax
- (412) 681-8760
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD013106E | PA | Primary |
Addresses
Primary practice location
5200 Centre Ave
Suite 205
Pittsburgh, PA 15232-1300
Mailing address
5200 Centre Ave
Suite 205
Pittsburgh, PA 15232-1300
Phone (412) 681-6632
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000884425 0002 | Medicaid | PA | |
| JA135114 | Other | PA | PA BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1073572509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 CENTRE AVE",
"address_2": "SUITE 205",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321300",
"telephone_number": "412-681-6632",
"fax_number": "412-681-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 CENTRE AVE",
"address_2": "SUITE 205",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321300",
"telephone_number": "412-681-6632",
"fax_number": "412-681-8760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "RICHARD",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD013106E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000884425 0002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "JA135114",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.