Wayne E Jacobs, M.D.

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

7655 Issued in NV

Practice address

3061 S Maryland Pkwy
Suite 102
Las Vegas, NV 89109-2298

Phone

(702) 731-2888

Fax

(702) 696-9289

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Diagnostic Radiology

Education

University of South Florida College of Medicine, 1991

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
• Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiology Specialists LTD Marasso-Miller

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1437196979

  NV

  Medicare reassignment Care Compare group NPD
• Ellis Bandt Birkin Kollins & Wong PLLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1578584678

  NV

  Medicare reassignment NPD
• Shelin Agrawal and Hyer PLLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1861783961

  Nuclear Radiology, NV

  Medicare reassignment NPD
• Red Rock at Maryland Parkway LLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1770686271
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sunrise Hospital and Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952

  Hospital

  Care Compare affiliation
• Sunrise Mountainview Hospital, Inc.

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1104870187

  Hospital

  Care Compare affiliation
• Bullhead City Hospital Corporation

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766

  Hospital

  Care Compare affiliation
• Bullhead City Hospital Corporation

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation
• PHC-Fort Mohave Inc

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1811975873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 202",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "877-406-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 S MARYLAND PKWY",
            "address_2": "SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092298",
            "telephone_number": "702-731-2888",
            "fax_number": "702-696-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "WAYNE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NV",
            "license": "7655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300064947",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200290219",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "NV4817",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael B Jacobs, M.D., PH.D.
• Monica Jacobs
• Nicolette Jacobs
• Sandra Jacobs
• Tobie Jacobs
• Xeniya Jacobs
• Yuliya Jacobs
• Jason Jacobsen
• Leizel Trinidad Jacobsen, RRT
• Alexis Marie Jacobson

• Nuclear Radiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nuclear Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.

Verify at the official NPI Registry.