Individual provider Active NPI

Robert Elliott Jacobson, M.D.

  • Neurological Surgery Physician
  • South Miami, FL
National Provider Identifier
1245545805
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
24694 Issued in FL
Practice address
7600 SW 57TH Ave
309
South Miami, FL 33143-5428
Phone
(305) 661-8288
Fax
(305) 661-1874
NPI assigned
Aug 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 24694 FL Primary
Interventional Pain Medicine Physician 208VP0014X 24694 FL

Addresses

Primary practice location

7600 SW 57TH Ave
309
South Miami, FL 33143-5428

Mailing address

7600 SW 57TH Ave
309
South Miami, FL 33143-5428
Phone (305) 661-8288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150220002273 FL Practitioner - Neurosurgery 6406171156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Jefferson Medical College of Thomas Jefferson University, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7600 SW 57TH Ave
Suite 309
South Miami, FL 33143-5427
Phone (305) 661-8288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24694FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aldo F Berti MD, PA Neurological Surgery CurrentSince Oct 13, 2014 Accepting new patients

Locations

7600 SW 57th Ave
Ste 309
South Miami, FL 33143
Phone (305) 661-8288

Interoperability endpoints

  • Direct secure messaging: wghrjacob@yourcarecommunity.org

Organizations & group practices 1

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": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1245545805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 SW 57TH AVE",
            "address_2": "309",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435428",
            "telephone_number": "305-661-8288",
            "fax_number": "305-661-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SW 57TH AVE",
            "address_2": "309",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435428",
            "telephone_number": "305-661-8288",
            "fax_number": "305-661-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "ROBERT",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-08",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "24694",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "24694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.