Abraham Jacob, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

MD20222 Issued in ME

Practice address

300 Main St
Lewiston, ME 04240-7027

Phone

(207) 795-7575

Fax

(207) 344-0350

NPI assigned

Feb 27, 2006

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of NH, LLCGroup PAC ID 8527423706, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catholic Medical Center Hospital, Manchester, NH, CCN 300034
• Parkland Medical Center Hospital, Derry, NH, CCN 300017
• Elliot Hospital Hospital, Manchester, NH, CCN 300012
• Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmcnh@gohnh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Medicine Services of NH, LLC

  • Hospitalist Physician
  • Derry, NH
  • NPI 1548967607
  Medicare reassignment Care Compare group NPD
• Catholic Medical Center

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1427154335
  Medicare reassignment NPD
• Catholic Medical Center

  dba Manchester Anesthesia Associates

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1003692112
  NPD
• Catholic Medical Center

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1528150273
  NPD (past)
• Manchester Health Services, LLC

  dba Catholic Medical Center

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1972340990
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  dba Parkland Medical Center

  • General Acute Care Hospital
  • Derry, NH
  • NPI 1174570683
  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  dba Portsmouth Regional Hospital

  • General Acute Care Hospital
  • Portsmouth, NH
  • NPI 1518913607
  Care Compare affiliation
• Manchester Health Services, LLC

  dba Catholic Medical Center

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1972340990
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1093781296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-7575",
            "fax_number": "207-344-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-7575",
            "fax_number": "207-344-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "ABRAHAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "200002",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD20222",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "14874",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD20222",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053538",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcnh@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 McGregor St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lori K Jackson, P.A.
• Luke S Jackson, CRITICAL CARE RN
• Mariteresa Jackson
• Richard Jackson, M.D.
• Trena Jackson, LADC
• Lori B Jacques, RN, CCM
• Nicholas Jalbert, PHARM.D.
• James P. Herbert, D.M.D., P.a.
• Marybeth James-O'Connor, LCSW
• Alexandra P James, MS, RD, LDN

• Hospitalist Physician in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Hospitalist Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.