Active NPI
Ruth M. Jacobs, MD, LLC
- Infectious Disease Physician
- Rockville, MD
National Provider Identifier
1588019079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- D29526
- Legal business name
- RUTH M. JACOBS, MD, LLC
- Practice address
- 9420 Key West Ave
Suite 202
Rockville, MD 20850-3334 - Phone
- (301) 315-9515
- NPI assigned
- May 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ruth Marie Jacobs, M.D.
- Title
- Owner
- Phone
- (301) 315-9515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | D29526 | MD | Primary |
Addresses
Primary practice location
9420 Key West Ave
Suite 202
Rockville, MD 20850-3334
Mailing address
9420 Key West Ave
Suite 202
Rockville, MD 20850-3334
Phone (301) 315-9515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 756621200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
19851 Observation Dr
Ste 245
Germantown, MD 20876
Phone (301) 288-1319
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462233600000",
"number": "1588019079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9420 KEY WEST AVE",
"address_2": "SUITE 202",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503334",
"telephone_number": "301-315-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9420 KEY WEST AVE",
"address_2": "SUITE 202",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503334",
"telephone_number": "301-315-9515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTH M. JACOBS, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-03",
"last_updated": "2016-05-03",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-315-9515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "MD",
"license": "D29526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "756621200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.