NPIMap

Individual provider Active NPI

Karen L Jacobs, DO

  • Family Medicine Physician
  • Wimauma, FL
National Provider Identifier
1346338316
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10775 Issued in FL
Practice address
16521 S US Highway 301
Wimauma, FL 33598-2032
Phone
(813) 844-4700
NPI assigned
Oct 11, 2006
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 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 OS10775 FL Primary

Addresses

Primary practice location

16521 S US Highway 301
Wimauma, FL 33598-2032

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-4700

Other identifiers 1

IdentifierTypeStateIssuer
001474100MedicaidFL

Other names 1

  • Karen L Charitz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kjacobs53798@direct.tgh.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091207000023 FL Practitioner - Family Practice 3678528924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

16521 S US Hwy 301
Wimauma, FL 33598-2032
Phone (813) 844-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS10775FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Feb 6, 2022 Accepting new patients
Florida Medical Specialists LLC CurrentSince Jan 4, 2021 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Tampa General Medical Group Inc Family Medicine CurrentSince Feb 6, 2022 Accepting new patients
Florida Medical Specialists LLC CurrentSince Jan 4, 2021 Accepting new patients
Tampa General Medical Group Inc Family Medicine Past Accepting new patients
Florida Medical Specialists LLC Family Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Gulf Coast Hma Physician Management LLC Family Medicine Past Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

409 Bayshore Blvd
Tampa, FL 33606
Phone (813) 253-2640

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: kjacobs53798@direct.tgh.org

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1346338316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 S US HIGHWAY 301",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335982032",
            "telephone_number": "813-844-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001474100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjacobs53798@direct.tgh.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "16521 S US Highway 301",
            "city": "Wimauma",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335982032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "CHARITZ",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wimauma, FL

Sources for this page

Verify at the official NPI Registry.