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IAN M JACOBSON MD
NPI 1013057900
Emergency Medicine in Providence, RI

Active since February 08, 2007PECOS Enrolled
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(330) 493-4443 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ian M Jacobson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN M JACOBSON MD (NPI 1013057900) is an individual emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD08888) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013057900
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameIAN M JACOBSONCredential: MD
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address4535 Dressler Rd NwCanton, OH 44718-2545 · (330) 493-4443
Phone(330) 493-4443
Sole ProprietorNo
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013057900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in RI · MD08888
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
825 CHALKSTONE AVE, Providence, RI 02908
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Other Identifiers 2

Medicaid7004811RI
Medicare UPINE64424

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian M Jacobson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TODD F ROBERTS MD
Internal Medicine (Medical Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-6565
DR. WILLIAM ARTHUR YELLE MD
Anesthesiology
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
PROSPECT CHARTERCARE RWMC, LLC
General Acute Care Hospital
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
N PETER LIBBEY M.D.
Pathology (Anatomic Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908
Providence County (401) 456-2162
GARRICK MARK WHITLOCK CRNA
Nurse Anesthetist, Certified Registered
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
DR. JOHN WESLEY PATRESAN MD
Internal Medicine (Hematology & Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
VALERIE JEAN ZUERCHER
Social Worker (Clinical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-4807
MAIMOONA HAROON MEMON MD
Internal Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Jacobson's NPI number?

The NPI number for Ian Jacobson is 1013057900. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Ian Jacobson located?

Ian Jacobson practices at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (330) 493-4443.

What is Ian Jacobson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ian Jacobson enrolled in Medicare?

Yes. Ian Jacobson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Jacobson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.