Ryan J Jacobs, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

T7112 Issued in TX

Practice address

3400 E Central Texas Expy Ste 101
Killeen, TX 76543-7326

Phone

(254) 741-6641

Fax

(254) 537-4693

NPI assigned

Apr 26, 2016

Last updated

Aug 15, 2023By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Physical Medicine and Rehabilitation

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cardiovascular Institute of San Diego IncGroup PAC ID 0749337160, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.69 of 100Reported as individual

Quality

70.34

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ryan.jacobs.1@24201.direct.athenahealth.com

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.

• Cardiovascular Institute of San Diego Inc

  • Cardiovascular Disease Physician
  • Chula Vista, CA
  • NPI 1558518753
  Medicare reassignment Care Compare group NPD
• Mark Malone MD PA

  dba Advanced Pain Care

  • Pain Medicine (Anesthesiology) Physician
  • Belton, TX
  • NPI 1306592746
  NPD
• Image One a Medical Corp

  • Mammography Clinic/Center
  • San Diego, CA
  • NPI 1093585036
  NPD (past)
• Parkway Women's Care, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Escondido, CA
  • NPI 1871992644
  NPD (past)

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1548615750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W LOUIS HENNA BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787281203",
            "telephone_number": "512-244-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E CENTRAL TEXAS EXPY STE 101",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437326",
            "telephone_number": "254-741-6641",
            "fax_number": "254-537-4693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 N IH 35 Ste C",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "TX",
            "postal_code": "76513",
            "country_code": "US",
            "telephone_number": "254-741-6641",
            "fax_number": "254-537-4693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 S Mays St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786647580",
            "country_code": "US",
            "telephone_number": "512-244-4272",
            "fax_number": "512-244-2895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-153211",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "T7112",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "T7112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Jackson
• Michael Jackson
• Rosyln Jackson
• Roxanna Jackson
• Tania N Jackson
• Jacquelene Mitchell Adiele, MD, PA
• Robyn Dene Jaffers, FNP-C
• Arpana Jaiswal, M.D.
• Jaloph Consumer Services Inc
• Rasna James

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Killeen, TX
• Providers in Killeen, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.