Individual provider Active NPI

Seth M. Jacobson, M.D.

  • Cardiovascular Disease Physician
  • Rochester, NY
National Provider Identifier
1114994381
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
205422 Issued in NY
Practice address
140 Canal View Blvd
Suite 102
Rochester, NY 14623-2808
Phone
(585) 338-2700
Fax
(585) 242-9663
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 205422 NY
Cardiovascular Disease Physician 207RC0000X 205422 NY Primary

Addresses

Primary practice location

140 Canal View Blvd
Suite 102
Rochester, NY 14623-2808

Mailing address

140 Canal View Blvd
Suite 102
Rochester, NY 14623-2808
Phone (585) 338-2700

Other identifiers 15

IdentifierTypeStateIssuer
0002135471OtherUNITED HEALTHCARE
02153964MedicaidNY
060062940OtherRAILROAD MEDICARE
7700317OtherAETNA
7701230OtherMVP
MDG121OtherPREFERRED CARE
301127OtherWELLCARE
9682190OtherGHI
000526915001OtherHEALTH NOW PARNALL
PO10205422OtherGRIPA
PO10205422OtherEXCELLUS
000526915001OtherCOMM BLUE/BCBSWNY
RC60205422OtherRCIPA
000526915002OtherHEALTH NOW LINDEN
6890OtherBCBS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sjacobson103124@direct.urmc.rochester.edu Direct
Direct Messaging Address sjacobson103124@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040728001561 NY Practitioner - Cardiovascular Disease (Cardiology) 6002886868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinical GroupGroup PAC ID 3577458199, 148 clinicians

Practice addresses (Care Compare)

999 E Ridge Rd
Suite 1000
Rochester, NY 14621-1936
Phone (585) 338-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
69.24
Promoting interoperability
98
Improvement activities
40
Cost
80.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205422NYMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Clinical Group Cardiovascular Disease CurrentSince Sep 1, 2015 Accepting new patients
Movn Health Medical Group PLLC Cardiovascular Disease CurrentSince Oct 1, 2024 Accepting new patients
University of Rochester Past Accepting new patients
Kenneth H. Davidson, MD, PC Cardiovascular Disease Past Accepting new patients
Mobile Diagnostic Testing Services Inc Past Accepting new patients
Rochester General Hospital PastSince Sep 1, 2015 Accepting new patients

Locations

3415 S Sepulveda Blvd
Ste 1168
Los Angeles, CA 90034

279 Central Ave
Albany, NY 12206

75 Sunset Dr
#A
Newark, NY 14513
Phone (315) 331-4375

601 Elmwood Ave
#679B
Rochester, NY 14642
Phone (585) 273-3760

140 Canal View Blvd
Ste 102
Rochester, NY 14623
Phone (585) 242-9450

30 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 242-9450

999 E Ridge Rd
Ste 1000
Rochester, NY 14621

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: sjacobson103124@direct.urmc.rochester.edu

Organizations & group practices 6

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 2

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1114994381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CANAL VIEW BLVD",
            "address_2": "SUITE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232808",
            "telephone_number": "585-338-2700",
            "fax_number": "585-242-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CANAL VIEW BLVD",
            "address_2": "SUITE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232808",
            "telephone_number": "585-338-2700",
            "fax_number": "585-242-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "SETH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "205422",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "205422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0002135471",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02153964",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060062940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7700317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "7701230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDG121",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "301127",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9682190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW PARNALL",
            "identifier": "000526915001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRIPA",
            "identifier": "PO10205422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "PO10205422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM BLUE/BCBSWNY",
            "identifier": "000526915001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RCIPA",
            "identifier": "RC60205422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW LINDEN",
            "identifier": "000526915002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6890",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjacobson103124@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjacobson103124@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.