NPIMap

Individual provider Active NPI

Samuel Jacobowitz, MD

  • Family Medicine Physician
  • Louisville, CO
National Provider Identifier
1629427364
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0065635 Issued in CO
Practice address
80 Health Park Dr Ste 100
Louisville, CO 80027-4644
Phone
(303) 666-2710
Fax
(303) 673-0438
NPI assigned
Jun 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0065635 CO Primary

Addresses

Primary practice location

80 Health Park Dr Ste 100
Louisville, CO 80027-4644

Mailing address

2750 Broadway St
Boulder, CO 80304-3586
Phone (303) 440-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908002592 CO Practitioner - Family Practice 9931496320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Medical Center, PCGroup PAC ID 4183536204, 86 clinicians

Practice addresses (Care Compare)

80 Health Park Dr
Suite 100
Louisville, CO 80027-4644
Phone (303) 673-0448

Hospital & facility affiliations

  • Bayada Home Health Care Inc Home health agency, Broomfield 80020, CO, CCN 067551
  • Boulder Community Health Hospital, Boulder, CO, CCN 060027
  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Medical Center, P.C. CurrentSince Apr 15, 2024 Accepting new patients
Boulder Medical Center, P.C. CurrentSince Apr 15, 2024 Accepting new patients
Boulder Medical Center, P.C. Current Accepting new patients
Boulder Medical Center, P.C. Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Iora Health, LLC Past Accepting new patients
Medical Center Pharmacy Inc Past Accepting new patients

Locations

2750 Broadway St
Boulder, CO 80304
Phone (303) 440-3000

89 S Briggs St
Ste 105
Erie, CO 80516
Phone (303) 673-0448

80 Health Park Dr
Ste 100
Louisville, CO 80027
Phone (303) 665-1045

Interoperability endpoints

  • Direct secure messaging: samuel.jacobowitz.1@19222.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 50

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1629427364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043586",
            "telephone_number": "303-440-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HEALTH PARK DR STE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800274644",
            "telephone_number": "303-666-2710",
            "fax_number": "303-673-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBOWITZ",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0065635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.