MICHAEL KEITH JACOBS MD NPI 1134157597

NPI Information

  • NPI: 1134157597
  • Provider Name: MICHAEL KEITH JACOBS, MD
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3918 MONTCLAIR RD
    SUITE 105
    MOUNTAIN BRK, AL
    ZIP 35213
  • Phone: (205) 705-3550

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NPI Details

Michael Keith Jacobs, MD is a dermatopathology dermatology in Mountain Brk, AL with 25 years of experience. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. Michael Keith Jacobs, MD NPI is 1134157597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

3918 MONTCLAIR RD
SUITE 105
MOUNTAIN BRK, AL
ZIP 35213-425
Phone: (205) 705-3550
Fax: (205) 705-3554

The NPI 1134157597 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.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Special stained specimen slides to examine tissue, each multiplex procedure (HCPCS:88344)
  • Surgical pathology consultation and report on referred material requiring preparation of slides (HCPCS:88323)

The enumeration date for this NPI number is 6/28/2006 and was last updated on 1/4/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathologyME100342FLORIDANo
2207ND0900XDermatologyDermatopathologyMD.201843LOUISIANANo
3207ND0900XDermatologyDermatopathology2008-00217NORTH CAROLINANo
4207ND0900XDermatologyDermatopathology0101245015VIRGINIANo
5207ND0900XDermatologyDermatopathology25031ALABAMAYes
6207ND0900XDermatologyDermatopathologyDR0050087COLORADONo
7207ND0900XDermatologyDermatopathology21330MISSISSIPPINo
8207ND0900XDermatologyDermatopathology25MA08863300NEW JERSEYNo
9207ND0900XDermatologyDermatopathologyN2577TEXASNo
10207ND0900XDermatologyDermatopathologyE6005ARKANSASNo
11207ND0900XDermatologyDermatopathologyMD31313SOUTH CAROLINANo
12207ND0900XDermatologyDermatopathologyA110841CALIFORNIANo
13207ND0900XDermatologyDermatopathology42796TENNESSEENo
14207ND0900XDermatologyDermatopathology060107GEORGIANo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151136288OTHERALABAMABLUE CROSS

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: 11/21/2025

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