NPIMap

Individual provider Active NPI

Moises Jacobs, M.D.,F.A.C.S.

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1245206143
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME42154 Issued in FL
Practice address
9380 SW 150TH St
Suite 250
Miami, FL 33176-7947
Phone
(305) 256-5242
Fax
(305) 256-5324
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME42154 FL Primary

Addresses

Primary practice location

9380 SW 150TH St
Suite 250
Miami, FL 33176-7947

Mailing address

9380 SW 150TH St
Suite 250
Miami, FL 33176-7947
Phone (305) 256-5242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000720 FL Practitioner - General PracticePractitioner - General Surgery 0446214167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 0244380434, 469 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

9333 SW 152ND St
Palmetto Bay, FL 33157-1778
Phone (305) 251-2500

9380 SW 150TH St
Miami, FL 33176-7947
Phone (305) 256-5018

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 1, 2011 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 1, 2011 Accepting new patients
Baptist Health Medical Group Physicians LLC Past Accepting new patients
Mercy Physician Group Inc Surgery Past Accepting new patients
South Florida Surgical Group Past Accepting new patients
Public Health Trust of Dade County Florida Past Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

9380 SW 150th St
Ste 250
Miami, FL 33176
Phone (305) 256-5030

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1245206143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9380 SW 150TH ST",
            "address_2": "SUITE 250",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767947",
            "telephone_number": "305-256-5242",
            "fax_number": "305-256-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 SW 150TH ST",
            "address_2": "SUITE 250",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767947",
            "telephone_number": "305-256-5242",
            "fax_number": "305-256-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MOISES",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME42154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.