Active NPI
Jill Henzell Jacoby, M.D.
- Internal Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- S2997
- Practice address
- 6501 Fannin St Ste Nc100
Houston, TX 77030-2703 - Phone
- (713) 798-2222
- Fax
- (713) 798-0111
- NPI assigned
- Apr 17, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | S2997 | TX | |
| Internal Medicine Physician | 207R00000X | S2997 | TX | Primary |
| General Practice Physician | 208D00000X | S2997 | TX |
Addresses
Primary practice location
6501 Fannin St Ste Nc100
Houston, TX 77030-2703
Mailing address
One Baylor PLZ
Suite Nc100, BCM Ms:621
Houston, TX 77030-3411
Phone (713) 798-2222
Other practice location 1
6431 Fannin St
Suite MSB 1.134
Houston, TX 77030-1501
Phone (713) 500-6500
Other names 1
- Jill Semple
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Internal Medicine
- Education
- University of Texas Medical School at Houston, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000
6720 Bertner Ave
Houston, TX 77030-2604
6770 Bertner Ave
Suite C 350
Houston, TX 77030-2604
Phone (713) 798-1000
7200 Cambridge St
Houston, TX 77030-4202
Hospital & facility affiliations
- Ascension Seton Medical Center Austin
- Baylor St Lukes Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Internal Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Ascension Seton | Past | Accepting new patients | |
| CHI St. Luke'S Health Baylor College of Medicine Medical Center | Past | Accepting new patients |
Locations
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1922532803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE BAYLOR PLZ",
"address_2": "SUITE NC100, BCM MS:621",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "713-798-2222",
"fax_number": "713-798-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 FANNIN ST STE NC100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302703",
"telephone_number": "713-798-2222",
"fax_number": "713-798-0111"
}
],
"practiceLocations": [
{
"address_1": "6431 Fannin St",
"address_2": "Suite MSB 1.134",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301501",
"country_code": "US",
"telephone_number": "713-500-6500",
"fax_number": "713-500-6530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBY",
"first_name": "JILL",
"middle_name": "HENZELL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-17",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "S2997",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S2997",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "S2997",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "SEMPLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.