Jacobo Wortsman, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036.048163 Issued in IL

Practice address

3128 Temple Dr
Springfield, IL 62704-5425

Phone

(217) 670-2996

NPI assigned

Jan 6, 2025

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1972312825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 TEMPLE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045425",
            "telephone_number": "217-670-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 TEMPLE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045425",
            "telephone_number": "217-670-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTSMAN",
        "first_name": "JACOBO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036.048163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Wort, LCSW
• Reagan Worth, OTR/L
• Marian K. Worthy, APN
• Dawn Wortley, PTA
• Sarah Wortman, CRNA
• Christopher E. Wottowa, M.D.
• Kimberly Ann Woudenberg, M.D.
• Wright Counseling LLC
• Abby Lynne Wright, AU.D.
• Ashlee D. Wright, DNP

• Endocrinology, Diabetes & Metabolism Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.