Individual provider Active NPI

Rebecca Khezri Jacobson, MD

  • Dermatology Physician
  • Framingham, MA
National Provider Identifier
1336588136
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
290216 Issued in MA
Practice address
85 Lincoln St Ste 510
Framingham, MA 01702-8200
Phone
(617) 540-5570
Fax
(617) 540-5571
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD462041 PA
MOHS-Micrographic Surgery Physician 207ND0101X 290216 MA
MOHS-Micrographic Surgery Physician 207ND0101X MD462041 PA
Dermatology Physician 207N00000X 290216 MA Primary

Addresses

Primary practice location

85 Lincoln St Ste 510
Framingham, MA 01702-8200

Mailing address

PO Box 600736
Newtonville, MA 02460-0007
Phone (617) 540-5570

Other practice location 1

281 Lincoln St
Worcester, MA 01605-2138
Phone (508) 334-5979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170920003561 PA Practitioner - Dermatology 6608093117 Reassigns benefits to 2 organizations
I20221003000188 MA Practitioner - Dermatology 6608093117 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

281 Lincoln St
Worcester, MA 01605-2138
Phone (508) 334-1000

85 Lincoln St
Suite 510
Framingham, MA 01702-8200
Phone (508) 719-8947

Hospital & facility affiliations

  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision49
Removal of skin lesions68
Removal of skin cancer84
Removal or shaving of skin growth1-10
Skin biopsy46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Tower Health Medical Group Current Accepting new patients
Geisinger Clinic CurrentSince Sep 18, 2017 Accepting new patients
Greater Boston Dermatology PC Dermatology CurrentSince Apr 30, 2024 Accepting new patients
Geisinger Medical Oncology Selinsgrove CurrentSince Sep 18, 2017 Accepting new patients
Umass Memorial Medical Group Inc Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jun 2, 2024 Accepting new patients
Dartmouth Dermatology Associates, PC Dermatology CurrentSince Feb 26, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Oct 1, 2020 Accepting new patients
Leominster Dermatology LLP Dermatology CurrentSince Oct 1, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Oct 1, 2020 Accepting new patients

Locations

85 Lincoln St
Ste 510
Framingham, MA 01702
Phone (508) 719-8947

308 W Broadway
Ste 3
Gardner, MA 01440
Phone (978) 534-0582

100 Hospital Rd
Ste 2D
Leominster, MA 01453
Phone (978) 534-0582

368 Faunce Corner Rd
Ste 2
North Dartmouth, MA 02747
Phone (508) 985-5285

368 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 985-5040

281 Lincoln St
Worcester, MA 01605
Phone (508) 334-8015

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

100 N Academy Ave
Danville, PA 17822

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

1001 Reed Ave
Ste 402
Wyomissing, PA 19610
Phone (484) 628-4270

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1336588136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600736",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024600007",
            "telephone_number": "617-540-5570",
            "fax_number": "617-540-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LINCOLN ST STE 510",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028200",
            "telephone_number": "617-540-5570",
            "fax_number": "617-540-5571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052138",
            "country_code": "US",
            "telephone_number": "508-334-5979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "REBECCA",
        "middle_name": "KHEZRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD462041",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "290216",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD462041",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "290216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.