Individual provider Active NPI

Ruth Marie Jacobs, M.D.

  • Infectious Disease Physician
  • Rockville, MD
National Provider Identifier
1497774913
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D29526 Issued in MD
Practice address
9420 Key West Ave
#202
Rockville, MD 20850-3334
Phone
(301) 315-9515
Fax
(301) 309-0765
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D29526 MD Primary

Addresses

Primary practice location

9420 Key West Ave
#202
Rockville, MD 20850-3334

Mailing address

935 Beacon Square CT
# 38
Gaithersburg, MD 20878-5450
Phone (301) 216-1376

Other identifiers 2

IdentifierTypeStateIssuer
756621200MedicaidMD
69190001OtherMDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081021000029 DC Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Allergy/Immunology 1951478338 Reassigns benefits to 1 organization
Practice locations: Germantown, MD

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Allergy/Immunology, Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19851 Observation Dr
Suite 245
Germantown, MD 20876-4151
Phone (703) 673-6389

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
57.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D29526MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth M. Jacobs, MD, LLC Infectious Disease CurrentSince Aug 30, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

19851 Observation Dr
Ste 245
Germantown, MD 20876
Phone (301) 288-1319

10716 Richmond Hwy
Ste 204
Lorton, VA 22079

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 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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1497774913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 BEACON SQUARE CT",
            "address_2": "# 38",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785450",
            "telephone_number": "301-216-1376",
            "fax_number": "301-309-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE",
            "address_2": "#202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503334",
            "telephone_number": "301-315-9515",
            "fax_number": "301-309-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "RUTH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D29526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "756621200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "69190001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.