Individual provider Active NPI

David Jonathan Jacobs, MD

  • Ophthalmology Physician
  • Richmond, VA
National Provider Identifier
1184675100
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101268576 Issued in VA
Practice address
400 Westhampton Sta
Richmond, VA 23226-3330
Phone
(804) 287-4200
Fax
(804) 287-4256
NPI assigned
May 15, 2006
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 11985 ND
Ophthalmology Physician 207W00000X 0101268576 VA Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 11985 ND

Addresses

Primary practice location

400 Westhampton Sta
Richmond, VA 23226-3330

Mailing address

8002 Discovery Dr RM 410
Richmond, VA 23229-8601
Phone (804) 287-4213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200522000978 VA Practitioner - Ophthalmology 2567501240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Carolina School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgeons of Richmond IncGroup PAC ID 5799778320, 44 clinicians

Practice addresses (Care Compare)

6946 Forest Ave
Suite 100
Richmond, VA 23230-1706
Phone (804) 287-4200

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
81.98
Promoting interoperability
99
Improvement activities
40
Cost
66.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101268576VAMDOphthalmology Physician
11985NDMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeons of Richmond, Inc. CurrentSince Jun 29, 2020 Accepting new patients
Eye Surgeons of Richmond, Inc. Ophthalmology CurrentSince Jun 29, 2020 Accepting new patients
Eye Surgeons of Richmond, Inc. Ophthalmology Current Accepting new patients
University of Miami Past Accepting new patients

Locations

11601 Iron Bridge Rd
Ste 104
Chester, VA 23831
Phone (804) 285-5330

11601 Iron Bridge Rd
Ste 200
Chester, VA 23831
Phone (804) 340-5730

611 Watkins Centre Pkwy
Ste 100
Midlothian, VA 23114
Phone (804) 287-4412

2015 Waterside Rd
Prince George, VA 23875
Phone (804) 733-7300

400 Westhampton Sta
Richmond, VA 23226

402 Westhampton Sta
Richmond, VA 23226
Phone (804) 272-6117

6946 Forest Ave
Ste 100
Richmond, VA 23230
Phone (804) 287-2020

Interoperability endpoints

  • Direct secure messaging: david.jacobs@vei.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AICDBD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1184675100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 DISCOVERY DR RM 410",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232298601",
            "telephone_number": "804-287-4213",
            "fax_number": "804-282-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTHAMPTON STA",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263330",
            "telephone_number": "804-287-4200",
            "fax_number": "804-287-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DAVID",
        "middle_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "11985",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101268576",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "ND",
            "license": "11985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.