Active NPI
Michael A Jacobs, MD PA
- Urology Physician
- Palm Beach Gardens, FL
National Provider Identifier
1619950169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME0066801
- Practice address
- 3370 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4327 - Phone
- (561) 624-9797
- Fax
- (561) 624-0416
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME0066801 | FL | Primary |
Addresses
Primary practice location
3370 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4327
Mailing address
3370 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4327
Phone (561) 624-9797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Southern California Keck School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3370 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4327
Phone (561) 624-9797
Hospital & facility affiliations
- Trilogy Home Healthcare
- Jupiter Medical Center
- Palm Beach Gardens Medical Center
- Cleveland Clinic Martin North Hospital
- Good Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.61 of 100
- Quality
- 53.21
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0066801 | FL | MD | Urology Physician |
Interoperability endpoints
- mjacobs20090@jupitermedicalcenter.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Palm Beach Gardens, FL
- NPI 1467727990
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1538598081
-
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1619950169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3370 BURNS RD",
"address_2": "SUITE 101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104327",
"telephone_number": "561-624-9797",
"fax_number": "561-624-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3370 BURNS RD",
"address_2": "SUITE 101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104327",
"telephone_number": "561-624-9797",
"fax_number": "561-624-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME0066801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.