Active NPI
Lawrence J Jacobs, M.D.
- Clinical Cardiac Electrophysiology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 35060098J
- Practice address
- 9500 Euclid Ave
WL20
Cleveland, OH 44195-0001 - Phone
- (440) 899-5555
- NPI assigned
- Sep 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 35060098J | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave
WL20
Cleveland, OH 44195-0001
Mailing address
9500 Euclid Ave
WL20
Cleveland, OH 44195-0001
Phone (440) 899-5555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060016720 | Other | OH | RAILROAD MEDICARE |
| 0872926 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- New York Medical College, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Hospital & facility affiliations
- Cleveland Clinic
- Fairview Hospital
- Cleveland Clinic Avon Hospital
- Marymount Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35060098J | OH | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Cardiovascular Consultants of Cleveland Inc | Past | Accepting new patients | |
| Lake County and West Ekg Associates | Past | Accepting new patients |
Locations
9500 Euclid Ave
#20
Cleveland, OH 44195
Phone (216) 444-0539
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000
26250 Euclid Ave
Ste 307
Euclid, OH 44132
Phone (216) 732-7000
6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520
7200 Mentor Ave
Mentor, OH 44060
Phone (440) 946-8809
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
36100 Euclid Ave
Ste 330B
Willoughby, OH 44094
Phone (440) 449-2000
36100 Euclid Ave
Ste 300
Willoughby, OH 44094
Phone (440) 942-4844
Interoperability endpoints
- ljacobsmd82030@direct.ccf.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71745
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Cardiovascular Disease Physician
- Mentor, OH
- NPI 1811943749
-
- Cardiovascular Disease Physician
- Painesville, OH
- NPI 1710946785
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, OH
- NPI 1346607017
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Garfield Heights, OH
- NPI 1942248737
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322179200000",
"number": "1104810639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"address_2": "WL20",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "440-899-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"address_2": "WL20",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "440-899-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "LAWRENCE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2011-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "OH",
"license": "35060098J",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060016720",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0872926",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.