Alan Jay Jacobs, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

15868 Issued in NE

Practice address

3901 Pine Lake Rd
Suite 120
Lincoln, NE 68516-5497

Phone

(402) 420-1212

Fax

(402) 328-0961

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alan.jacobs@acon.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DICAAA

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.

• Arthritis Center of Nebraska

  • Rheumatology Physician
  • Lincoln, NE
  • NPI 1164492641
  NPD

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1386614907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD",
            "address_2": "SUITE 120",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497",
            "telephone_number": "402-420-1212",
            "fax_number": "402-328-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD",
            "address_2": "SUITE 120",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497",
            "telephone_number": "402-420-1212",
            "fax_number": "402-328-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ALAN",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NE",
            "license": "15868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN/GROUP",
            "identifier": "07246/01942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN/GRP",
            "identifier": "110047261/CO4240",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zayniah Jackson
• Alixandria Jacob
• Don-Boy Kaika Jacob
• Jennifer Annora Jacoba
• Estefani Jacobo, DNP
• Aleah Jacobs
• Caroline Rose Jacobs, SLP
• Hannah Kathleen Jacobs
• Nicole Jacobs, MT-BC
• Dorothea Y Jacobsen, MD

• Rheumatology Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Rheumatology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.