Individual provider Active NPI

Stephen M Jacobs, M.D.

  • Anesthesiology Physician
  • Seattle, WA
National Provider Identifier
1114078730
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00043210 Issued in WA
Practice address
1229 Madison St
Suite 1440
Seattle, WA 98104-3586
Phone
(206) 625-0578
Fax
(206) 625-9184
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00043210 WA Primary

Addresses

Primary practice location

1229 Madison St
Suite 1440
Seattle, WA 98104-3586

Mailing address

1229 Madison St
Suite 1440
Seattle, WA 98104-3586
Phone (206) 625-0578

Other identifiers 1

IdentifierTypeStateIssuer
8399677MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20040515000252 WA Practitioner - Anesthesiology 2264422872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Washington School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Anesthesia Service PLLCGroup PAC ID 6901792365, 183 clinicians

Practice addresses (Care Compare)

1229 Madison St
Suite 1440
Seattle, WA 98104-3538
Phone (206) 625-0578

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-2742

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (206) 386-2742

Hospital & facility affiliations

  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
80.9
Improvement activities
40
Cost
75.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00043210WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Anesthesia Service PLLC Anesthesiology CurrentSince Jul 1, 2004 Accepting new patients
Western Washington Medical Group, Inc, PS CurrentSince Jul 1, 2004 Accepting new patients

Locations

600 Broadway
Ste 270
Seattle, WA 98122
Phone (206) 381-0269

1229 Madison St
Ste 1440
Seattle, WA 98104
Phone (206) 625-0578

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1114078730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "SUITE 1440",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043586",
            "telephone_number": "206-625-0578",
            "fax_number": "206-625-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "SUITE 1440",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043586",
            "telephone_number": "206-625-0578",
            "fax_number": "206-625-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00043210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8399677",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.