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JACOBO ELGOZY M.D.P.A
NPI 1073741963
Internal Medicine in Hollywood, FL

Active since June 30, 2009
7191 TAFT ST, HOLLYWOOD, FL 33024(646) 401-2389(305) 357-1678 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacobo Elgozy M.d.p.a NPPES

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

JACOBO ELGOZY M.D.P.A (NPI 1073741963) is a healthcare organization registered as an internal medicine in Hollywood, Florida and active in the NPI registry since June 2009. The organization lists Jacobo Elgozy, President, as its authorized official.

NPPES Registry Identity

NPI1073741963
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJACOBO ELGOZY M.D.P.A
Location Address7191 TAFT STHollywood, FL 33024-3805
Mailing Address2350 N University Dr # 840736Pembroke Pines, FL 33024-3614 · (646) 401-2389 · Fax (305) 357-1678
Phone(646) 401-2389
Fax(305) 357-1678
Organization SubpartNo
Authorized OfficialJacobo ElgozyPresident · (646) 401-2389
Enumeration DateJune 30, 2009
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1073741963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · OS-10059
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7191 TAFT ST, Hollywood, FL 33024
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacobo Elgozy M.d.p.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20091007000522Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacobo Elgozy M.D.P.A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacobo Elgozy, DO
Internal Medicine
NPI 1518165737
7191 TAFT ST
Hollywood, FL 33024
(954) 639-7258
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jacobo Elgozy M.D.P.A's NPI number?

The NPI number for Jacobo Elgozy M.D.P.A is 1073741963. It was assigned to this organization in the NPPES registry on June 30, 2009.

Where is Jacobo Elgozy M.D.P.A located?

Jacobo Elgozy M.D.P.A is located at 7191 Taft St, Hollywood, FL 33024. The listed phone number is (646) 401-2389.

What is Jacobo Elgozy M.D.P.A's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacobo Elgozy M.D.P.A enrolled in Medicare?

Yes. Jacobo Elgozy M.D.P.A is registered in the Medicare PECOS enrollment system.

When is Jacobo Elgozy M.D.P.A's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jacobo Elgozy M.D.P.A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jacobo Elgozy M.D.P.A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jacobo Elgozy M.D.P.A was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.