NPIMap

Individual provider Active NPI

Micah Abram Jacobs, MD

  • Infectious Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1386845022
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD433626 Issued in PA
Practice address
9104 Babcock Blvd
Suite 6118
Pittsburgh, PA 15237-5818
Phone
(412) 348-0330
Fax
(412) 348-0338
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD433626 PA Primary
Infectious Disease Physician 207RI0200X 57.007172 OH

Addresses

Primary practice location

9104 Babcock Blvd
Suite 6118
Pittsburgh, PA 15237-5818

Mailing address

9104 Babcock Blvd
Suite 6118
Pittsburgh, PA 15237-5818
Phone (412) 348-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080711000432 PA Practitioner - Infectious Disease 8123190857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Medical College of Ohio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Romano, Pontzer and Associates, LimitedGroup PAC ID 6103717137, 11 clinicians

Practice addresses (Care Compare)

100 Delafield Rd
Suite 202
Pittsburgh, PA 15215-3247
Phone (412) 348-0330

9104 Babcock Blvd
Suite 2116
Pittsburgh, PA 15237-5818
Phone (412) 348-0330

Hospital & facility affiliations

  • Upmc St Margaret Hospital, Pittsburgh, PA, CCN 390102
  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.007172OHMDInfectious Disease Physician
MD433626PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Romano, Pontzer & Associates, Limited Infectious Disease CurrentSince Jul 1, 2008 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

105 Braunlich Dr
Ste 104
Pittsburgh, PA 15237
Phone (412) 348-0330

9104 Babcock Blvd
Ste 6118
Pittsburgh, PA 15237
Phone (412) 348-0330

9104 Babcock Blvd
Ste 2116
Pittsburgh, PA 15237
Phone (412) 348-0330

100 Delafield Rd
Ste 202
Pittsburgh, PA 15215
Phone (412) 348-0330

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

Organizations & group practices 2

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 11

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1386845022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 6118",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-348-0330",
            "fax_number": "412-348-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 6118",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-348-0330",
            "fax_number": "412-348-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MICAH",
        "middle_name": "ABRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD433626",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "57.007172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.