Individual provider Active NPI

Ramon Eduardo Acosta Jacobs-Shaw, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1619945326
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
259692 Issued in NY
Practice address
455 Sutter Ave
Brooklyn, NY 11212-8111
Phone
(718) 765-6550
Fax
(347) 620-9739
NPI assigned
Mar 9, 2006
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C149431 CA
Internal Medicine Physician 207R00000X MD218141 OR
Internal Medicine Physician 207R00000X V3618 TX
Internal Medicine Physician 207R00000X 259692 NY Primary
Internal Medicine Physician 207R00000X 84174-20 WI

Addresses

Primary practice location

455 Sutter Ave
Brooklyn, NY 11212-8111

Mailing address

30 W Monroe St Ste 1200
Chicago, IL 60603-2420
Phone (312) 733-9730

Other practice location 1

9209 Colima Rd Ste 1000
Whittier, CA 90605-1813
Phone (562) 677-2491

Other practice location 2

34 Old Mill Rd
Weston, CT 06883-1542
Phone (910) 987-3272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20110711000042 NY Practitioner - HospitalistPractitioner - Internal Medicine 8729089370 Reassigns benefits to 2 organizations
I20250718001232 CT Practitioner - Internal Medicine 8729089370

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD218141ORMDInternal Medicine Physician
V3618TXMDInternal Medicine Physician
84174-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
New York University Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
New York University Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
Nuvance Health Medical Practice PC Internal Medicine CurrentSince Feb 18, 2026 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Feb 18, 2026 Accepting new patients
Carelon Medical Partners, PC Internal Medicine PastSince Jun 26, 2020 Accepting new patients
University of North Carolina at Chapel Hill Internal Medicine Past Accepting new patients

Locations

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: ramon.jacobs@550128338010116.direct.elationemr.com
  • Direct secure messaging: ramon.jacobsshaw.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: ramonjacobs-shaw@mai.allscriptsdirect.net
  • Direct secure messaging: rjacobs66524@direct.unc.nchie.net

Organizations & group practices 7

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1619945326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MONROE ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032420",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112128111",
            "telephone_number": "718-765-6550",
            "fax_number": "347-620-9739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9209 Colima Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906051813",
            "country_code": "US",
            "telephone_number": "562-677-2491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Old Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "CT",
            "postal_code": "068831542",
            "country_code": "US",
            "telephone_number": "910-987-3272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS-SHAW",
        "first_name": "RAMON",
        "middle_name": "EDUARDO ACOSTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C149431",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD218141",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V3618",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "259692",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "84174-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.