Individual provider Active NPI

Michael Jacobs

  • Pain Medicine Physician
  • Bethesda, MD
National Provider Identifier
1447239793
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
D0078231 Issued in MD
Practice address
8901 Wisconsin Ave
Bethesda, MD 20889-0004
Phone
(301) 295-7754
NPI assigned
Jan 14, 2006
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X D0078231 MD
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X D0078231 MD
Occupational Medicine Physician 2083X0100X D0078231 MD
Pain Medicine Physician 208VP0000X D0078231 MD Primary

Addresses

Primary practice location

8901 Wisconsin Ave
Bethesda, MD 20889-0004

Mailing address

8901 Wisconsin Ave
Bethesda, MD 20889-0004
Phone (301) 295-7754

Other practice location 1

1133 21st St NW
Washington, DC 20036-3390
Phone (202) 223-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110316000934 DC Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 2062694714 Reassigns benefits to 3 organizations
I20160705001722 MD Practitioner - Physical Medicine and Rehabilitation 2062694714 Reassigns benefits to 1 organization
I20220901001421 VA Practitioner - Physical Medicine and Rehabilitation 2062694714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Rehabilitation Systems LLCGroup PAC ID 4486547163, 71 clinicians

Practice addresses (Care Compare)

12580 National Pike
Grantsville, MD 21536-3310
Phone (301) 895-5793

14201 Park Ctr Dr
Suite 410
Laurel, MD 20707-5251
Phone (301) 498-0383

2021 K St NW
Suite 615
Washington, DC 20006-1066
Phone (301) 498-0383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0078231MDMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates, LTD CurrentSince May 19, 2022 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Sep 1, 2024 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Sep 1, 2024 Accepting new patients
Physical Medicine Associates, LTD Pain Medicine CurrentSince May 19, 2022 Accepting new patients
NSPC Surgery Center of Maryland LLC CurrentSince Apr 12, 2024 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Sep 1, 2024 Accepting new patients
Up Orthopedics LLC Past Accepting new patients

Locations

2021 K St NW
Ste 615
Washington, DC 20006
Phone (202) 808-8295

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

610 Professional Dr
Ste 270
Gaithersburg, MD 20879
Phone (240) 808-8482

5 N La Plata Ct
Ste 203
La Plata, MD 20646
Phone (240) 307-4700

14201 Park Center Dr
Ste 408
Laurel, MD 20707
Phone (301) 685-3805

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

6710 Oxon Hill Rd
Ste 550
Oxon Hill, MD 20745
Phone (301) 485-7400

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332

1420 Spring Hill Rd
Ste 210
McLean, VA 22102
Phone (703) 738-4342

1860 Town Center Dr
Ste 430
Reston, VA 20190
Phone (703) 735-4335

493 Blackwell Rd
Ste 316
Warrenton, VA 20186
Phone (540) 341-1900

14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371

Interoperability endpoints

  • Direct secure messaging: mjacobs@precisionmsk.emadirect.md

Organizations & group practices 8

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 4

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": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1447239793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890004",
            "telephone_number": "301-295-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890004",
            "telephone_number": "301-295-7754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 21st St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200363390",
            "country_code": "US",
            "telephone_number": "202-223-9040",
            "fax_number": "202-223-9047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0078231",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MD",
            "license": "D0078231",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MD",
            "license": "D0078231",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "D0078231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.