Individual provider Active NPI

Jacob A Jerome, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Pittsburgh, PA
National Provider Identifier
1790365237
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD487318 Issued in PA
Practice address
300 Halket St
Pittsburgh, PA 15213-3108
Phone
(412) 641-1000
NPI assigned
Apr 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD487318 PA Primary

Addresses

Primary practice location

300 Halket St
Pittsburgh, PA 15213-3108

Mailing address

3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410

Other practice location 1

3550 Terrace Street Pathology Education Office A711
Pittsburgh, PA 15261-0001
Phone (412) 802-6014

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250702000923 PA Practitioner - Pathology 6406265891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Pittsburgh School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

300 Halket St
Pittsburgh, PA 15213-3108

320 Main St
Johnstown, PA 15901-1601
Phone (814) 533-0134

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-6700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD487318PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2025 Accepting new patients

Locations

320 Main St
Johnstown, PA 15901
Phone (814) 533-0123

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213

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.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1790365237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE STE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-641-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Terrace Street Pathology Education Office A711",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152610001",
            "country_code": "US",
            "telephone_number": "412-802-6014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEROME",
        "first_name": "JACOB",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD487318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.