Jessica Delores Jacobs, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MT194489 Issued in PA

Practice address

3700 Odonnell St
Baltimore, MD 21224-5269

Phone

(773) 292-4800

Fax

(312) 564-4059

NPI assigned

Jun 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessica.jacobs.p2@direct.alegiscare.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/23295/brand/1/csg/1/fhir/r4

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.

• Alegis Care - District of Columbia PC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376126318

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1154557171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S DAMEN AVE",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081169",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ODONNELL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245269",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JESSICA",
        "middle_name": "DELORES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT194489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN FOR RESIDENCY PROGRAM",
            "identifier": "RES0000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Anita Jacobs, PHARMD
• Deborah Gemora Jacobs, LCSW-C
• Dianne Roseberry Jacobs, PAC
• Erica S Jacobs, OT
• Jarrod Jacobs, LCSW-C
• Jonathan Levi Jacobs, M.D.
• Karen Ellen Jacobs, D.D.S.
• Lisa Jacobs, M.D.
• Louis Herman Jacobs, LCSW-C
• Marcella J Jacobs, OT

• Family Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.