NPIMap

Individual provider Active NPI

Cara L Jakob, MD

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1376564542
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0074002 Issued in FL
Practice address
3115 Citrus Tower Blvd
Suite a
Clermont, FL 34711-6880
Phone
(352) 394-4237
Fax
(352) 394-6097
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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 ME0074002 FL Primary

Addresses

Primary practice location

3115 Citrus Tower Blvd
Suite a
Clermont, FL 34711-6880

Mailing address

PO Box 120550
Clermont, FL 34712-5389
Phone (352) 394-4237

Other identifiers 1

IdentifierTypeStateIssuer
258421200MedicaidFL

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
I20050507000036 FL Practitioner - Family Practice 9133013485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Total Family Healthcare IncGroup PAC ID 0446144786, 4 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

3115 Citrus Tower Blvd
Suite a
Clermont, FL 34711-6880
Phone (352) 394-4237

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Ocala, FL, CCN 103167
  • Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702
  • Angels Care Home Health Home health agency, Clermont, FL, CCN 108236
  • Adventhealth Home Health Home health agency, Leesburg, FL, CCN 107155
  • Mederi Caretenders Home health agency, Clermont, FL, CCN 107470
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0074002FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Family Health Care, Inc. Family Medicine CurrentSince Oct 21, 2002 Accepting new patients
Metro Health, Inc. Past Accepting new patients
Premier Care Homecare, LLC PastSince Apr 30, 2003 Accepting new patients

Locations

3115 Citrus Tower Blvd
Ste A
Clermont, FL 34711
Phone (352) 394-4237

Organizations & group practices 3

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 8

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1376564542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120550",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347125389",
            "telephone_number": "352-394-4237",
            "fax_number": "352-394-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 CITRUS TOWER BLVD",
            "address_2": "SUITE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116880",
            "telephone_number": "352-394-4237",
            "fax_number": "352-394-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOB",
        "first_name": "CARA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0074002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258421200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.