Active NPI
Randall S Jacobs, MD
- Gastroenterology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME164131
- Practice address
- 9800 S Healthpark Dr Ste 110
Fort Myers, FL 33908-3630 - Phone
- (239) 343-6202
- Fax
- (239) 343-4159
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME164131 | FL | Primary |
| Gastroenterology Physician | 207RG0100X | 4301406898 | MI |
Addresses
Primary practice location
9800 S Healthpark Dr Ste 110
Fort Myers, FL 33908-3630
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-6202
Other practice location 1
6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 348-4367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120521000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Wayne State University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9800 S Healthpark Dr
Suite 110
Fort Myers, FL 33908-3630
Phone (239) 343-6202
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.48 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 84.95
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 77.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 143 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME164131 | FL | MD | Gastroenterology Physician |
| 4301406898 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key West Hma Physician Management, LLC | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Key West Hma Physician Management LLC | Current | Accepting new patients | |
| Digestive Health Consultants, PLC | Gastroenterology | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
9800 S Healthpark Dr
Ste 110
Fort Myers, FL 33908
Phone (239) 344-2307
1111 12th St
Ste 104
Key West, FL 33040
Phone (305) 293-1830
205 W Grand River Ave
Ste 200
Brighton, MI 48116
Phone (248) 593-9000
30055 Northwestern Hwy
Ste 250
Farmington Hills, MI 48334
Phone (248) 985-5000
11900 E 12 Mile Rd
Ste 307
Warren, MI 48093
Phone (586) 573-8380
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- rjacobs681666@direct.leememorial.org
- rjacobs813034@direct.hfhs.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Internal Medicine Physician
- Cudjoe Key, FL
- NPI 1871548651
-
- Gastroenterology Physician
- Farmington Hills, MI
- NPI 1710924170
-
- Orthopaedic Surgery Physician
- Key West, FL
- NPI 1346548229
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1093798316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-6202",
"fax_number": "239-343-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 S HEALTHPARK DR STE 110",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083630",
"telephone_number": "239-343-6202",
"fax_number": "239-343-4159"
}
],
"practiceLocations": [
{
"address_1": "6101 Pine Ridge Rd",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341193900",
"country_code": "US",
"telephone_number": "239-348-4367",
"fax_number": "238-354-6393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBS",
"first_name": "RANDALL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME164131",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301406898",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120521000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.