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DR. ABRAHAM JACOB M.D. NPI 1144242587


NPI Information

NPI: 1144242587
Provider Name: DR. ABRAHAM JACOB, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
516 DELAWARE STREET SE, PWB FOURTH FLOOR ROOM 4-100
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 672-7122
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DR. Abraham Jacob, M.D. is a pediatrics in Minneapolis, MN with 30 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Abraham Jacob, M.D. NPI is 1144242587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduation Year:1994

The provider's business location address is:

516 DELAWARE STREET SE, PWB FOURTH FLOOR ROOM 4-100
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 672-7122

The NPI 1144242587 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 enumeration date for this NPI number is 7/24/2006 and was last updated on 4/23/2012.


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 Medicine39348MINNESOTANo
2208000000XPediatrics39348MINNESOTAYes

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
104-01462OTHERMINNESOTAMEDICA PRIMARY
204-08261OTHERMINNESOTAMEDICA CHOICE - PCC
3349818200MEDICAIDMINNESOTA
434633600MEDICAIDWISCONSIN
50140660MEDICARE ID-TYPE UNSPECIFIEDMONTANAMT MA
6598T8JAOTHERMINNESOTABCBS
71016575OTHERMINNESOTAPREFERRED ONE
8792497OTHERMINNESOTAARAZ
9721T5JAOTHERMINNESOTABCBS - PCC
10370003000MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE
110591164MEDICAIDIOWA
12HP25847OTHERMINNESOTAHEALTHPARTNERS
1304-07575OTHERMINNESOTAMEDICA CHOICE
14122189OTHERMINNESOTAUCARE
15G75205MEDICARE UPINMINNESOTA

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: 4/28/2024

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.