Individual provider Active NPI

Todd Jacobs, MD

  • Family Medicine Physician
  • Sunrise, FL
National Provider Identifier
1669452264
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME90301 Issued in FL
Practice address
8395 W Oakland Park Blvd Ste C
Sunrise, FL 33351-7346
Phone
(954) 335-6925
Fax
(954) 400-3550
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 ME90301 FL Primary

Addresses

Primary practice location

8395 W Oakland Park Blvd Ste C
Sunrise, FL 33351-7346

Mailing address

8395 W Oakland Park Blvd Ste C
Sunrise, FL 33351-7346
Phone (954) 335-6925

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070426000459 FL Practitioner - Family Practice 2668578329 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Physicians of Florida VI LLCGroup PAC ID 1759802333, 141 clinicians
Loyal Medical Group IncGroup PAC ID 4880030733, 5 clinicians

Practice addresses (Care Compare)

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000

8391 W Oakland Park Blvd
Sunrise, FL 33351-7307
Phone (954) 335-6925

Hospital & facility affiliations

  • All Services Home Health Agency Inc Home health agency, Fort Lauderdale, FL, CCN 687165
  • Community Home Health Services Home health agency, Fort Lauderdale, FL, CCN 107103
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90301FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Aug 6, 2017 Accepting new patients
Sound Physicians of Florida IV, LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Sound Physicians of Florida VI LLC Family Medicine CurrentSince Feb 6, 2025 Accepting new patients
QMC LLC CurrentSince May 14, 2019 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Family Medicine CurrentSince Aug 6, 2017 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Jan 1, 2022 Accepting new patients
Loyal Medical Group Inc Family Medicine CurrentSince Feb 16, 2024 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

8391 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 335-6925

8395 W Oakland Park Blvd
Ste C
Sunrise, FL 33351
Phone (561) 404-1422

3100 E Fletcher Ave
#C
Tampa, FL 33613

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: tjacobs2022580@direct.trinity-health.org
  • Direct secure messaging: todd.jacobs.1@33209.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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1669452264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8395 W OAKLAND PARK BLVD STE C",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517346",
            "telephone_number": "954-335-6925",
            "fax_number": "954-400-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 W OAKLAND PARK BLVD STE C",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517346",
            "telephone_number": "954-335-6925",
            "fax_number": "954-400-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.