Individual provider Active NPI

Adam Jacobs, DO

  • Rheumatology Physician
  • Boca Raton, FL
National Provider Identifier
1689293151
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS20384 Issued in FL
Practice address
1050 NW 15TH St Ste 212a
Boca Raton, FL 33486-1390
Phone
(561) 368-5611
NPI assigned
Apr 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OS20384 FL Primary

Addresses

Primary practice location

1050 NW 15TH St Ste 212a
Boca Raton, FL 33486-1390

Mailing address

1050 NW 15TH St Ste 212a
Boca Raton, FL 33486-1390

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
I20250627004031 FL Practitioner - Rheumatology 2365801644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Nova Southeastern College of Osteo Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pardo Forstot Baca and Alboukrek PAGroup PAC ID 0042203895, 6 clinicians

Practice addresses (Care Compare)

1050 NW 15 St
Suite 212 a
Boca Raton, FL 33486-1341
Phone (561) 368-9776

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20384FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pardo Forstot Baca & Alboukrek PA Rheumatology CurrentSince Aug 4, 2025 Accepting new patients
Pardo, Forstot, Baca, Alboukrek, P.a. Rheumatology PastSince Aug 4, 2025 Accepting new patients

Locations

1050 NW 15th St
Ste 208A
Boca Raton, FL 33486
Phone (561) 368-2125

1050 NW 15th St
Ste 212A
Boca Raton, FL 33486
Phone (561) 368-5611

5162 Linton Blvd
Ste 101
Delray Beach, FL 33484
Phone (561) 368-9776

Organizations & group practices 2

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 5

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1689293151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST STE 212A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST STE 212A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861390",
            "telephone_number": "561-368-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ADAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "OS20384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.