Dr. Abraham Jacob

M.D. | Pediatrics | Male

Dr. Abraham Jacob, M.D. is a Minneapolis, Minnesota based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Abraham Jacob is 516 Delaware Street Se, Pwb Fourth Floor Room 4-100, University Of Minnesota Physicians, Minneapolis, Minnesota - 55455. He can be contacted on phone at 612-672-7122. Dr. Abraham Jacob is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Abraham Jacob is 1144242587 which was assigned by NPPES on 24 Jul, 2006 and it was last updated on 23 Apr, 2012. Dr. Abraham Jacob license number is 39348 for Pediatrics (208000000X) in Minnesota.
Dr. Abraham Jacob is a pediatrician who 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.
Complete Profile:
Dr. Abraham Jacob basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Abraham Jacob
Credential :M.D.
Gender :Male
Business Address:
Dr. Abraham Jacob address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :516 Delaware Street Se, Pwb Fourth Floor Room 4-100, University Of Minnesota Physicians
Minneapolis, MN, 55455
United States
Phone Number :612-672-7122
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1144242587
NPI Entity Type : Individual
First Enrolment Date : 24 Jul, 2006
Last Updated On : 23 Apr, 2012
Medicare Participation:
Dr. Abraham Jacob participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :1153303664
Medicare Enrollment ID :I20040607000849
Primary Specialty :Internal Medicine
Medical School :University Of Toledo College Of Medicine
Graduation Year :1994
Accepts Medicare?Yes. Dr. Abraham Jacob accepts medicare insurance.
Group Practice Association:
Dr. Abraham Jacob is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Abraham Jacob is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
University Of Minnesota Health Clinics And Surgery Center Inc9133423304529909 Fulton St Se
Minneapolis, MN - 554554800
Ph: 6126727422
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Abraham Jacob are as mentioned. Primary taxonomy code for Dr. Abraham Jacob, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
207R00000XInternal MedicineNo39348MN
208000000XPediatricsYes39348MN
Legacy Identifiers:
Other legacy medical identifiers of Dr. Abraham Jacob such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
04-01462OtherMNMEDICA PRIMARY
122189OtherMNUCARE
34633600MEDICAIDWI
721T5JAOtherMNBCBS - PCC
HP25847OtherMNHEALTHPARTNERS
349818200MEDICAIDMN
598T8JAOtherMNBCBS
04-07575OtherMNMEDICA CHOICE
1016575OtherMNPREFERRED ONE
792497OtherMNARAZ
04-08261OtherMNMEDICA CHOICE - PCC
0591164MEDICAIDIA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :200 Oak Street Se, Room 270, Mcnamara Center, Mcnamara Center University Of Minnesota Physicians
Minneapolis, MN, 55455
United States
Phone Number :612-626-2820
Fax Number :612-624-0997
Business Location:
Patients can refer following map for directions to Dr. Abraham Jacob practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.