Individual provider Active NPI

Mitchell Jacobs, M.D.

  • Pulmonary Disease Physician
  • Yardley, PA
National Provider Identifier
1841556636
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD457089 Issued in PA
Practice address
1000 Floral Vale Blvd Ste 125
Yardley, PA 19067-5583
Phone
(267) 759-6300
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X MD457089 PA Primary

Addresses

Primary practice location

1000 Floral Vale Blvd Ste 125
Yardley, PA 19067-5583

Mailing address

1000 Floral Vale Blvd Ste 125
Yardley, PA 19067-5583
Phone (267) 759-6300

Other practice location 1

22 S Greene St Rm N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110

Other practice location 2

22 S Greene St Rm N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110

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
I20180522000562 PA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 3577872365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
University of Maryland School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

1100 Horizon Cir
Chalfont, PA 18914-3971
Phone (215) 394-0400

1240 S Broad St
220 Pulm and Sleep Spec
Lansdale, PA 19446-5395
Phone (856) 234-4436

860 1St Ave
Suite 9a
King of Prussia, PA 19406-4033
Phone (856) 872-7055

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Cancer Specialists P.C. CurrentSince Aug 1, 2022 Accepting new patients
Advocare , LLC CurrentSince Apr 5, 2024 Accepting new patients
Advocare, LLC CurrentSince Apr 5, 2024 Accepting new patients
Hematology-Oncology Group, P.C. Current Accepting new patients
Greater Phila Cancer & Hematology Specialists PC Current Accepting new patients
Alliance Cancer Specialists CurrentSince Aug 1, 2022 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

1203 Langhorne Newtown Rd
Ste 135
Langhorne, PA 19047
Phone (215) 612-5250

2630 Holme Ave
Ste 104
Philadelphia, PA 19152
Phone (215) 332-9095

1000 Floral Vale Blvd
Ste 125
Yardley, PA 19067
Phone (215) 785-9500

Interoperability endpoints

  • Direct secure messaging: mitchell.jacobs@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 7

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841556636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FLORAL VALE BLVD STE 125",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675583",
            "telephone_number": "267-759-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FLORAL VALE BLVD STE 125",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675583",
            "telephone_number": "267-759-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St Rm N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St Rm N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MITCHELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD457089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.