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DR. RICHARD MICHAEL JACOBY MD NPI 1053353029


NPI Information

NPI: 1053353029
Provider Name: DR. RICHARD MICHAEL JACOBY, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Organization: COASTAL CARDIOVASCULAR CARE INC

PECOS Registration: Yes

Address:
700 GARDEN VIEW CT STE 204
ENCINITAS, CA
ZIP 92024
Phone: (760) 452-6334
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DR. Richard Michael Jacoby, MD is an interventional cardiology internal medicine in Encinitas, CA with 38 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Richard Michael Jacoby, MD NPI is 1053353029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

700 GARDEN VIEW CT STE 204
ENCINITAS, CA
ZIP 92024-478
Phone: (760) 452-6334
Fax: (760) 349-9755

The NPI 1053353029 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)

The enumeration date for this NPI number is 6/12/2006 and was last updated on 10/29/2019.


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
1207RC0000XInternal MedicineCardiovascular Disease9400849NORTH CAROLINANo
2207RI0011XInternal MedicineInterventional Cardiology9400849NORTH CAROLINANo
3207RI0011XInternal MedicineInterventional CardiologyG161416CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145580OTHERNORTH CAROLINABCBS
28945580MEDICAIDNORTH CAROLINA
3N00849MEDICAIDSOUTH CAROLINA
41053353029OTHERCALIFORNIANPPES
5P00612426OTHERNORTH CAROLINARAILROAD MEDICARE

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.