Individual provider Active NPI

Robyn Hayley Jacobs, MD

  • Nephrology Physician
  • St Louis, MO
National Provider Identifier
1730288317
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R4J40 Issued in MO
Practice address
621 S New Ballas Rd
Suite 3015B
St Louis, MO 63141-8244
Phone
(314) 251-6344
Fax
(314) 251-7929
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X R4J40 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd
Suite 3015B
St Louis, MO 63141-8244

Mailing address

621 S New Ballas Rd
Suite 3015B
St Louis, MO 63141-8244
Phone (314) 251-6344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100803001246 MO Practitioner - Nephrology 6204860141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Missouri, Kansas City, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Nephrology, LLCGroup PAC ID 8921327115, 10 clinicians

Practice addresses (Care Compare)

615 S Ballas Rd
Admin 5TH Floor
St Louis, MO 63141-8221

615 S New Ballas Rd
Administration Building 5TH Floor
St Louis, MO 63141-8221

621 S New Ballas Rd
437A Mercy Clinic Nephrology Medical to
Saint Louis, MO 63141-8259
Phone (314) 251-6344

901 Patients 1St Dr
Suite 3300
Washington, MO 63090-4700
Phone (636) 231-6260

Hospital & facility affiliations

  • USRC Creve Coeur Dialysis Dialysis facility, Creve Coeur, MO, CCN 262508
  • USRC Ellisville Dialysis Dialysis facility, Ellisville, MO, CCN 262621
  • USRC St Charles Dialysis Dialysis facility, Saint Charles, MO, CCN 262645
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4J40MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Nephrology LLC Nephrology CurrentSince Aug 1, 2017 Accepting new patients
St. John'S Mercy Support Services Past Accepting new patients
Mercy Support Services Past Accepting new patients

Locations

621 S New Ballas Rd
Ste 3015B
Saint Louis, MO 63141
Phone (314) 251-6344

621 S New Ballas Rd
Ste 4006B
Saint Louis, MO 63141
Phone (314) 251-6486

621 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 432-0099

621 S New Ballas Rd
Ste 437A
Saint Louis, MO 63141
Phone (314) 251-3880

621 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-4283

621 S New Ballas Rd
Ste 3015
Saint Louis, MO 63141
Phone (314) 251-2900

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Organizations & group practices 3

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1730288317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 3015B",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631418244",
            "telephone_number": "314-251-6344",
            "fax_number": "314-251-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 3015B",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631418244",
            "telephone_number": "314-251-6344",
            "fax_number": "314-251-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ROBYN",
        "middle_name": "HAYLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R4J40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

Verify at the official NPI Registry.