Timothy W Jacobs, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

153021 Issued in MA

Practice address

1100 9TH Ave
Virginia Mason Ctr., Pathology
Seattle, WA 98101-2756

Phone

(203) 223-6861

Fax

(206) 515-5886

NPI assigned

Jun 1, 2006

Last updated

May 15, 2008By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Pathology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virginia Mason Medical Center Hospital, Seattle, WA, CCN 500005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.jacobs@direct.vmmc.org

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.

• Virginia Mason Medical Center

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1801851258
  Medicare reassignment Care Compare group NPD
• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Cardiothoracic Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Seattle, WA
  • NPI 1043375587
  NPD
• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-General Surgery

  • Surgery Physician
  • Seattle, WA
  • NPI 1154487452
  NPD
• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Crnas

  • Certified Registered Nurse Anesthetist
  • Seattle, WA
  • NPI 1164586020
  NPD
• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Podiatry

  • Podiatrist
  • Seattle, WA
  • NPI 1215085097
  NPD
• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Cardiology

  • Cardiovascular Disease Physician
  • Seattle, WA
  • NPI 1225193766
  NPD
• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Dermatology

  • Dermatology Physician
  • Seattle, WA
  • NPI 1235293101
  NPD
• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Registered Dietitians

  • Registered Dietitian
  • Seattle, WA
  • NPI 1235295536
  NPD
• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Orthopedic Surgery

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1316094816
  NPD
• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Pulmonology Infectious Disease

  • Pulmonary Disease Physician
  • Seattle, WA
  • NPI 1346304201
  NPD
• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Audiology

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1407911944
  NPD
• Virginia Mason Medical Center

  dba Virginia Mason Medical Center-Neurosurgery

  • Neurological Surgery Physician
  • Seattle, WA
  • NPI 1487701991
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Virginia Mason Medical Center

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1801851258
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1518904200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "MS M4-PA",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-583-6025",
            "fax_number": "206-515-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "VIRGINIA MASON CTR., PATHOLOGY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "203-223-6861",
            "fax_number": "206-515-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "153021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #",
            "identifier": "6985JA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD4450W",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA SPECIALIST PIN",
            "identifier": "US2871667",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8317422",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Brown Jacobs, LSWAIC
• Robb Douglas Jacobs, PT
• Roberta Jacobs
• Stephen M Jacobs, M.D.
• Tiffany Juliana Jacobs, DDS
• Jacobsen & Shaw, DDS, PLLC (new32 Aesthetic and Family Dentistry)
• Carissa Ann Jacobsen, LMP
• Erika Jacobsen, MD
• Kiandra Lisaray Jacobsen, LICSW
• Kristen Jacobsen, LMHC

• Anatomic Pathology & Clinical Pathology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.