NPIMap

Individual provider Active NPI

Matthew David Jacobson, MD

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1346385507
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0008373 Issued in DE
Practice address
86 Omega Dr Ste 86
Newark, DE 19713-2065
Phone
(302) 738-5500
Fax
(302) 738-9449
NPI assigned
Feb 21, 2007
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD5334 DE
Internal Medicine Physician 207R00000X C1-0008373 DE Primary

Addresses

Primary practice location

86 Omega Dr Ste 86
Newark, DE 19713-2065

Mailing address

405 Silverside Rd Ste 111
Wilmington, DE 19809-1768
Phone (302) 798-0666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20070830000782 DE Practitioner - Internal Medicine 2264525617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Care Physicians, P.a.Group PAC ID 6901870948, 10 clinicians

Practice addresses (Care Compare)

Omega Dr B
Newark, DE 19713
Phone (302) 738-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0008373DEMDInternal Medicine Physician
MD5334DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Physicians, P.a. Internal Medicine CurrentSince Jul 16, 2007 Accepting new patients

Locations

86 Omega Dr
#B
Newark, DE 19713
Phone (302) 738-5550

86 Omega Dr
Ste 86
Newark, DE 19713
Phone (302) 738-5500

86B Omega Dr
Bldg B
Newark, DE 19713

405 Silverside Rd
Ste 111
Wilmington, DE 19809
Phone (302) 798-0666

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28224/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.jacobson.1@28224.direct.athenahealth.com

Organizations & group practices 1

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 9

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1346385507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SILVERSIDE RD STE 111",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091768",
            "telephone_number": "302-798-0666",
            "fax_number": "302-798-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 OMEGA DR STE 86",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132065",
            "telephone_number": "302-738-5500",
            "fax_number": "302-738-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "MD5334",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0008373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.