Individual provider Active NPI

Adam David Jacobowitz, MD

  • Ophthalmology Physician
  • Coral Gables, FL
National Provider Identifier
1528212750
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
240762 Issued in NY
Practice address
800 S Douglas Rd
North Tower, Suite #150
Coral Gables, FL 33134-3125
Phone
(917) 593-4361
NPI assigned
Nov 14, 2008
Last updated
Jun 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 240762 NY Primary
Ophthalmology Physician 207W00000X 245862 MA

Addresses

Primary practice location

800 S Douglas Rd
North Tower, Suite #150
Coral Gables, FL 33134-3125

Mailing address

975 W 49TH St
Hialeah, FL 33012-3412
Phone (917) 593-4361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20131009001770 FL Practitioner - Ophthalmology 4486706314 Reassigns benefits to 1 organization
I20181121002048 VI Practitioner - Ophthalmology 4486706314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Consultants, PCGroup PAC ID 9739340233, 12 clinicians
William J Rand MdpaGroup PAC ID 5496789729, 8 clinicians

Practice addresses (Care Compare)

3006 Estate Orange GRV
Christiansted, VI 00820-5377
Phone (340) 773-2015

5 W Sample Rd
Pompano Beach, FL 33064-3542
Phone (954) 782-1700

Merit-based Incentive Payment System (MIPS)

Final score
94.95 of 100Reported as group
Quality
92.42
Improvement activities
40
Cost
93.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240762NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William J Rand Mdpa CurrentSince Jan 12, 2023 Accepting new patients
Ophthalmology Consultants, PC Ophthalmology CurrentSince Aug 20, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5 W Sample Rd
Deerfield Beach, FL 33064
Phone (954) 782-1700

3006 Estate Orange Grv
Christiansted, VI 00820
Phone 3407732015111

Interoperability endpoints

  • Direct secure messaging: adam.jacobowitz@plessenophthalmology.direct.eyemdemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1528212750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123412",
            "telephone_number": "917-593-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S DOUGLAS RD",
            "address_2": "NORTH TOWER, SUITE #150",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343125",
            "telephone_number": "917-593-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBOWITZ",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-14",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "240762",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "245862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.