Keith Laurence Jacobson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

699 Issued in CO

Practice address

8101 E Lowry Blvd
Suite 230
Denver, CO 80230-7196

Phone

(303) 344-9090

Fax

(720) 859-4017

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

43.24 of 100Reported as group

Quality

73.53

Promoting interoperability

0

Improvement activities

0

Cost

70.6

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: keithjacobson@occllc.allscriptsdirect.net

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1336121243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD",
            "address_2": "SUITE 230",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307196",
            "telephone_number": "303-344-9090",
            "fax_number": "720-859-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD",
            "address_2": "SUITE 230",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307196",
            "telephone_number": "303-344-9090",
            "fax_number": "720-859-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "KEITH",
        "middle_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82687579",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Jacobson, OTR/L
• Daniel H Jacobson, MD
• Dinell Jacobson, P.T.
• Erika Christa Jacobson, PHARMD
• Kali Jacobson, DC
• Michelle Christine Jacobson, M.D.
• Sydney Jacqueline Jacobson
• Connie Myerson Jacocks, PH.D.
• Jasmine Jacquay
• Jacqueline Richmond, DDS, PC

• Foot & Ankle Surgery Podiatrist in Denver, CO
• Providers in Denver, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.