Active NPI
Jessica Jacob
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO3443
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5011
- NPI assigned
- Apr 2, 2020
- Last updated
- Jun 21, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO3443 | NV | Primary |
| Internal Medicine Physician | 207R00000X | 009373 | AZ | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | DO3443 | NV | |
| Pulmonary Disease Physician | 207RP1001X | DO3443 | NV |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
3007 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4199
Phone (725) 226-8033
Other practice location 1
3007 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-4199
Phone (725) 226-8033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.59 of 100
- Quality
- 81.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009373 | AZ | MD | Internal Medicine Physician |
| DO3443 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Pulmonary Intensivists of Southern Nevada PLLC | Critical Care Medicine | Current | Accepting new patients |
| Maricopa County Special Health Care District | Past | Accepting new patients | |
| Orevillo MD PLLC | Pulmonary Disease | Past | Accepting new patients |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
3007 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 350-3966
Interoperability endpoints
- jjacobs215516@direct.valleywisehealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
dba Henderson Pulmonology
- Critical Care Medicine (Internal Medicine) Physician
- Henderson, NV
- NPI 1851826838
-
dba Valleywise Health
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
-
- Pulmonary Disease Physician
- Henderson, NV
- NPI 1083564363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782000000000",
"number": "1962031088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 W HORIZON RIDGE PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524199",
"telephone_number": "725-226-8033",
"fax_number": "702-718-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-5011"
}
],
"practiceLocations": [
{
"address_1": "3007 W Horizon Ridge Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890524199",
"country_code": "US",
"telephone_number": "725-226-8033",
"fax_number": "702-718-7980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOB",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2026-06-21",
"certification_date": "2026-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "DO3443",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "009373",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NV",
"license": "DO3443",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NV",
"license": "DO3443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2026; 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.