Active NPI
Deborah Lee Jacobson, MD
- Sports Medicine (Family Medicine) Physician
- Highlands Ranch, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- DR.0039161
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296620YL5B | Other | CO | MEDICARE ID EPN |
| 36724050 | Medicaid | CO |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39161 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Front Range, Inc. | Current | Accepting new patients | |
| Intermountain Front Range, Inc. | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Intermountain Front Range, Inc. | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Portercare Adventist Health System | Family Medicine | Current | Accepting new patients |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Aspen Family Care, PLLC | Past | 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
- 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.
-
- Internal Medicine Physician
- Wheat Ridge, CO
- NPI 1083444079
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1619706249
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wheat Ridge, CO
- NPI 1649210188
Family Medicine
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Maternal & Fetal Medicine Physician
- Lafayette, CO
- NPI 1962184077
-
- Family Medicine Physician
- Aurora, CO
- NPI 1871109546
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
- Clinic/Center
- Highlands Ranch, CO
- NPI 1063565869
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.