Active NPI
Karen J Jacobs, D.O.
- Urology Physician
- Marion, IN
National Provider Identifier
1801886908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 02002238A
- Practice address
- 1509 Hawksview Dr
Marion, IN 46952-1583 - Phone
- (765) 661-2530
- NPI assigned
- Oct 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 02002238A | IN | Primary |
Addresses
Primary practice location
1509 Hawksview Dr
Marion, IN 46952-1583
Mailing address
1509 Hawksview Dr
Marion, IN 46952-1583
Phone (765) 661-2530
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001045074 | Other | IN | ANTHEM |
| 200283250A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.82 of 100
- Quality
- 71.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Inc. | Urology | Current | Accepting new patients |
Locations
330 N Wabash Ave
Ste 350
Marion, IN 46952
Phone (765) 660-7460
Organizations & group practices 1
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.
-
- Urology Physician
- Marion, IN
- NPI 1205911682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1801886908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 HAWKSVIEW DR",
"city": "MARION",
"state": "IN",
"postal_code": "469521583",
"telephone_number": "765-661-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 HAWKSVIEW DR",
"city": "MARION",
"state": "IN",
"postal_code": "469521583",
"telephone_number": "765-661-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "KAREN",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-28",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "02002238A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000001045074",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200283250A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.