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JONATHAN T. JACOBS M.D. NPI 1164458907


NPI Information

NPI: 1164458907
Provider Name: JONATHAN T. JACOBS, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 17D2200167

Address:
5701 W 119TH ST STE 419
OVERLAND PARK, KS
ZIP 66209
Phone: (913) 498-1444
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Jonathan T. Jacobs, M.D. is an internal medicine in Overland Park, KS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Jonathan T. Jacobs, M.D. NPI is 1164458907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5701 W 119TH ST STE 419
OVERLAND PARK, KS
ZIP 66209-721
Phone: (913) 498-1444
Fax: (913) 667-2759

The NPI 1164458907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 17D2200167 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 10/26/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine04-29916KANSASNo
2207R00000XInternal Medicine2002028986MISSOURINo
3207R00000XInternal Medicine0429916KANSASYes
4208000000XPediatrics04-29916KANSASNo
5208000000XPediatrics2002028986MISSOURINo
6208M00000XHospitalist2002028986MISSOURINo
7208M00000XHospitalist0429916KANSASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.