Active NPI
Abraham Jacob, M.D.
- Internal Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 39348
- Practice address
- 516 Delaware Street SE, PWB Fourth Floor Room 4-100
University of Minnesota Physicians
Minneapolis, MN 55455 - Phone
- (612) 672-7122
- NPI assigned
- Jul 24, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39348 | MN | Primary |
| Pediatrics Physician | 208000000X | 39348 | MN |
Addresses
Primary practice location
516 Delaware Street SE, PWB Fourth Floor Room 4-100
University of Minnesota Physicians
Minneapolis, MN 55455
Mailing address
200 Oak Street SE, Room 270, McNamara Center
McNamara Center University of Minnesota Physicians
Minneapolis, MN 55455
Phone (612) 626-2820
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0591164 | Medicaid | IA | |
| 349818200 | Medicaid | MN | |
| 598T8JA | Other | MN | BCBS |
| 04-01462 | Other | MN | MEDICA PRIMARY |
| 04-08261 | Other | MN | MEDICA CHOICE - PCC |
| 1016575 | Other | MN | PREFERRED ONE |
| 122189 | Other | MN | UCARE |
| 721T5JA | Other | MN | BCBS - PCC |
| 34633600 | Medicaid | WI | |
| HP25847 | Other | MN | HEALTHPARTNERS |
| 04-07575 | Other | MN | MEDICA CHOICE |
| 792497 | Other | MN | ARAZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Internal Medicine
- Education
- University of Toledo College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313
919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 79.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39348 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Internal Medicine | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients |
Locations
15650 Cedar Ave
Apple Valley, MN 55124
Phone (952) 997-4100
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
516 Delaware St SE
Fl Fourth
Minneapolis, MN 55455
Phone (612) 625-7466
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
2535 University Ave SE
Minneapolis, MN 55414
Phone (612) 672-2350
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
400 Stinson Blvd
#2
Minneapolis, MN 55413
Phone (612) 672-2294
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
45 10th St W
Ste 3000
Saint Paul, MN 55102
Phone (651) 326-4800
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Interoperability endpoints
- ajacob25447@fairview.direct-ci.com
Organizations & group practices 15
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.
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- Clinic/Center
- Minneapolis, MN
- NPI 1043516867
-
- Specialist
- Saint Paul, MN
- NPI 1679048763
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Family Medicine Physician
- Maplewood, MN
- NPI 1710147954
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1144242587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OAK STREET SE, ROOM 270, MCNAMARA CENTER",
"address_2": "MCNAMARA CENTER UNIVERSITY OF MINNESOTA PHYSICIANS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-626-2820",
"fax_number": "612-624-0997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 DELAWARE STREET SE, PWB FOURTH FLOOR ROOM 4-100",
"address_2": "UNIVERSITY OF MINNESOTA PHYSICIANS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-672-7122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "ABRAHAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "39348",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "39348",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0591164",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "349818200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "598T8JA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "04-01462",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE - PCC",
"identifier": "04-08261",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1016575",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "122189",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - PCC",
"identifier": "721T5JA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34633600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP25847",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "04-07575",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "792497",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.