Mitchell Mayer Jacobson, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME118317 Issued in FL

Practice address

3107 Stirling Road
#300
Ft. Lauderdale, FL 33312

Phone

(954) 963-7100

Fax

(954) 894-3320

NPI assigned

Jul 27, 2006

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

EndocrinologyAlso: Internal Medicine

Education

Northwestern University Feinberg Medical School, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jellinger and Lerman, MD, LLCGroup PAC ID 9234159369, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

Merit-based Incentive Payment System (MIPS)

Final score

91.34 of 100Reported as group

Quality

82.69

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4

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.

• Jellinger & Lerman, MD, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Lauderdale, FL
  • NPI 1013946862
  Medicare reassignment Care Compare group NPD
• Madison Medical Affiliates, Inc.

  • General Practice Physician
  • Milwaukee, WI
  • NPI 1588695746
  NPD (past)

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

• South Broward Hospital District

  dba Memorial Regional Hospital

  • General Acute Care Hospital
  • Hollywood, FL
  • NPI 1780667923
  Care Compare affiliation

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1346254539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 STIRLING ROAD",
            "address_2": "#300",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-963-7100",
            "fax_number": "954-894-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 STIRLING ROAD",
            "address_2": "#300",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-963-7100",
            "fax_number": "954-894-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MITCHELL",
        "middle_name": "MAYER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WI",
            "license": "15380",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME118317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346254539",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon Stephen Jacobs, O.D.
• Samuel Laban Jacobs, MD
• Stephen F. Jacobs, M.D.
• Emma Arielle Jacobson, LMHC
• Jennifer Jacobson, PSYD
• Steven Jacobson, DC
• Susana Elizabeth Jacobus
• Maria C Jacques Da Silva, PHD, RPH
• Jada Wellness & Psychotherapy (Restorative Integrations Boutique Therapy)
• Jade Wellness

• Endocrinology, Diabetes & Metabolism Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.