Individual provider Active NPI

Cheryl R Jacobs, MD

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1164529038
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD35079 Issued in WA
Practice address
2150 N 107TH St
Suite 205
Seattle, WA 98133-9009
Phone
(206) 466-5936
Fax
(206) 466-5984
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD35079 WA Primary
Internal Medicine Physician 207R00000X MD00035079 WA

Addresses

Primary practice location

2150 N 107TH St
Suite 205
Seattle, WA 98133-9009

Mailing address

2150 N 107TH St
Suite 205
Seattle, WA 98133-9009
Phone (206) 466-5936

Other identifiers 5

IdentifierTypeStateIssuer
1200JAOtherWAREGENCE
8244931MedicaidWA
214488OtherWALABOR & INDUSTRY
5891740001OtherWADME
P00385271OtherWAPALMETTO RR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00035079WAMDInternal Medicine Physician
MD35079WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health, LLC Internal Medicine Past Accepting new patients
Iora Health Massachusetts, P.C. Internal Medicine Past Accepting new patients
Speck Health PS Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cheryl.jacobs.1@6453.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6453/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1164529038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N 107TH ST",
            "address_2": "SUITE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339009",
            "telephone_number": "206-466-5936",
            "fax_number": "206-466-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N 107TH ST",
            "address_2": "SUITE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339009",
            "telephone_number": "206-466-5936",
            "fax_number": "206-466-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "CHERYL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD35079",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00035079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1200JA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8244931",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "214488",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5891740001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "P00385271",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.