Individual provider Active NPI

Jihan Maria Abbott, D.O.

  • Family Medicine Physician
  • Woodbury, MN
National Provider Identifier
1306138870
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55324 Issued in MN
Practice address
1687 Woodlane Dr
Woodbury, MN 55125-3045
Phone
(651) 600-3035
Fax
(651) 348-8783
NPI assigned
May 3, 2011
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55324 MN Primary

Addresses

Primary practice location

1687 Woodlane Dr
Woodbury, MN 55125-3045

Mailing address

1687 Woodlane Dr
Woodbury, MN 55125-3045
Phone (651) 600-3035

Other names 1

  • Jihan Jacobs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20120806000025 MN Practitioner - Family Practice 6305092479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Womens Care PAGroup PAC ID 9638329394, 44 clinicians

Practice addresses (Care Compare)

1687 Woodlane Dr
Suite 101
Woodbury, MN 55125-3046
Phone (651) 600-3035

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Family Medicine CurrentSince Aug 25, 2014 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Aug 25, 2014 Accepting new patients
Minnesota Women's Care, P.a. CurrentSince Dec 20, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Comprehensive Healthcare for Women, PA CurrentSince Dec 20, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients

Locations

6936 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (651) 326-5800

14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 326-7701

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

1099 Helmo Ave N
Ste 100
Saint Paul, MN 55128
Phone (651) 326-5300

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1983 Sloan Pl
Ste 1
Saint Paul, MN 55117
Phone (651) 326-5700

2603 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 209-8125

2680 Snelling Ave N
Ste 200
Saint Paul, MN 55113
Phone (651) 326-1600

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

870 Grand Ave
Saint Paul, MN 55105
Phone (651) 326-5650

980 Rice St
Saint Paul, MN 55117
Phone (651) 326-9020

2900 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 471-5600

1055 Centerville Cir
Vadnais Heights, MN 55127
Phone (651) 326-5900

480 Highway 96 E
Vadnais Heights, MN 55127
Phone (651) 326-5900

1687 Woodlane Dr
Woodbury, MN 55125
Phone (651) 209-6685

1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA
  • Direct secure messaging: jihan.abbott@mwc.eclinicaldirectplus.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1306138870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 WOODLANE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253045",
            "telephone_number": "651-600-3035",
            "fax_number": "651-348-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 WOODLANE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253045",
            "telephone_number": "651-600-3035",
            "fax_number": "651-348-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "JIHAN",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "55324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIHAN",
            "last_name": "JACOBS",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.