Active NPI
Michael R Jacoby, MD
- Surgery Physician
- Inverness, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME105854
- Practice address
- 403 W Highland Blvd
Inverness, FL 34452-4717 - Phone
- (352) 726-3646
- Fax
- (352) 726-0079
- NPI assigned
- Jul 26, 2006
- Last updated
- Dec 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 54194-20 | WI | |
| Surgery Physician | 208600000X | ME105854 | FL | Primary |
| Surgery Physician | 208600000X | 036046008 | IL |
Addresses
Primary practice location
403 W Highland Blvd
Inverness, FL 34452-4717
Mailing address
403 W Highland Blvd
Inverness, FL 34452-4717
Phone (352) 726-3646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036046008 | Medicaid | IL | |
| 04929950 | Other | IL | BC BS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1711 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4621
Phone (954) 688-3968
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manuel E Abella MD PA | Current | Accepting new patients | |
| USA Vein Clinics of Miami, LLC | Current | Accepting new patients | |
| USA Vascular Centers of Miami PLLC | Current | Accepting new patients | |
| Global Care S.C. | Past | Accepting new patients | |
| USA Vascular Centers of Miami, PLLC | Past | Accepting new patients | |
| Vascular Anesthesia Associates PLLC | Past | Accepting new patients | |
| USA Vascular Centers of Miami, PLLC | Past | Accepting new patients | |
| USA Vascular Centers of Miami, PLLC | Past | Accepting new patients | |
| Gulf Coast Vein Center, P.a. | Past | Accepting new patients | |
| Advanced Surgical Care of Northern Illinois, LTD | Surgery | Past | Accepting new patients |
| USA Vein Clinics of Miami, LLC | Past | Accepting new patients |
Locations
19451 S Tamiami Trl
Ste C
Fort Myers, FL 33908
Phone (239) 747-2133
19451 S Tamiami Trl
Ste E
Fort Myers, FL 33908
Phone (239) 747-2133
1711 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 457-0064
1711 E Hallandale Beach Blvd
Ste A
Hallandale Beach, FL 33009
Phone (954) 688-3968
1711 E Hallandale Beach Blvd
Ste B
Hallandale Beach, FL 33009
Phone (546) 883-9689
7100 W 20th Ave
Ste 412
Hialeah, FL 33016
Phone (954) 322-1110
13241 Bartram Park Blvd
Unit 801
Jacksonville, FL 32258
Phone (904) 446-9191
1975 S John Young Pkwy
Ste 101
Kissimmee, FL 34741
Phone (407) 715-6062
13940 N US Highway 441
Ste 500
Lady Lake, FL 32159
Phone (352) 218-8638
13940 N US Highway 441
Ste 500A
Lady Lake, FL 32159
Phone (352) 218-8638
13936 NW 7th Ave
Miami, FL 33168
Phone (305) 364-5778
3399 NW 72nd Ave
Ste 101A
Miami, FL 33122
Phone (786) 698-8734
8200 SW 117th Ave
Ste 414
Miami, FL 33183
Phone (305) 221-6161
4978 Millenia Blvd
Ste D
Orlando, FL 32839
Phone (321) 666-7620
4900 95th Ave N
Pinellas Park, FL 33782
Phone (727) 546-4400
4900 95th Ave N
Ste C
Pinellas Park, FL 33782
Phone (727) 475-7751
4900 95th Ave N
Ste E
Pinellas Park, FL 33782
Phone (727) 475-7751
2400 Fruitville Rd
Ste E
Sarasota, FL 34237
5409 N State Road 7
Tamarac, FL 33319
Phone (786) 567-4850
5409 N State Road 7
Ste A
Tamarac, FL 33319
Phone (754) 357-0369
4726 N Habana Ave
Ste 204
Tampa, FL 33614
Phone (813) 773-0988
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- Hallandale Beach, FL
- NPI 1396147138
-
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1205275088
-
- Vascular Surgery Physician
- Hallandale Beach, FL
- NPI 1861884595
-
dba Bowers Vein Institute
- Phlebology Physician
- Pinellas Park, FL
- NPI 1639414618
-
- Vascular Surgery Physician
- Miami, FL
- NPI 1033984208
-
- Vascular Surgery Physician
- Lady Lake, FL
- NPI 1417623810
-
- Vascular Surgery Physician
- Tamarac, FL
- NPI 1477229870
-
- Vascular Surgery Physician
- Lady Lake, FL
- NPI 1922706050
-
- Surgery Physician
- Barrington, IL
- NPI 1922169291
-
dba Illinois Cardiovascular Specialists
- Interventional Cardiology Physician
- Barrington, IL
- NPI 1033309042
-
dba Vascular Anesthesia Associates
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1346706173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1811911993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 W HIGHLAND BLVD",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524717",
"telephone_number": "352-726-3646",
"fax_number": "352-726-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W HIGHLAND BLVD",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524717",
"telephone_number": "352-726-3646",
"fax_number": "352-726-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBY",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "54194-20",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME105854",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036046008",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036046008",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "04929950",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inverness, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.