Individual provider Active NPI

Deborah Lee Jacobson, MD

  • Sports Medicine (Family Medicine) Physician
  • Highlands Ranch, CO
National Provider Identifier
1932205259
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DR.0039161 Issued in CO
Practice address
9331 S Colorado Blvd
Suite 200
Highlands Ranch, CO 80126-7467
Phone
(303) 471-4711
Fax
(303) 471-4767
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39161 CO
Sports Medicine (Family Medicine) Physician 207QS0010X DR.0039161 CO Primary

Addresses

Primary practice location

9331 S Colorado Blvd
Suite 200
Highlands Ranch, CO 80126-7467

Mailing address

9331 S Colorado Blvd
Suite 200
Highlands Ranch, CO 80126-7467
Phone (303) 471-4711

Other identifiers 2

IdentifierTypeStateIssuer
296620YL5BOtherCOMEDICARE ID EPN
36724050MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050920001304 CO Practitioner - Sports MedicinePractitioner - Family Practice 4789618687 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39161COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Intermountain Front Range, Inc. Current Accepting new patients
Intermountain Front Range, Inc. CurrentSince Aug 19, 2013 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 3, 2025 Accepting new patients
Intermountain Front Range, Inc. Family Medicine CurrentSince Aug 19, 2013 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Portercare Adventist Health System Family Medicine CurrentSince Mar 3, 2025 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Aspen Family Care, PLLC PastSince Jul 1, 2022 Accepting new patients

Locations

500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

8350 Colorado Blvd
Unit 1
Firestone, CO 80504
Phone (303) 689-5160

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1932205259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9331 S COLORADO BLVD",
            "address_2": "SUITE 200",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267467",
            "telephone_number": "303-471-4711",
            "fax_number": "303-471-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 S COLORADO BLVD",
            "address_2": "SUITE 200",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267467",
            "telephone_number": "303-471-4711",
            "fax_number": "303-471-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39161",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CO",
            "license": "DR.0039161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID EPN",
            "identifier": "296620YL5B",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36724050",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.