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DR. JONATHAN M. JACOBS M.D.
NPI 1114919917
Radiology - Diagnostic Radiology in Liverpool, NY

Active since August 17, 2005PECOS Enrolled
5100 W TAFT RD, SUITE 2A, LIVERPOOL, NY 13088(315) 452-2555(315) 452-2559 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan M. Jacobs M.d. NPPES

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

DR. JONATHAN M. JACOBS M.D. (NPI 1114919917) is an individual diagnostic radiology provider in Liverpool, New York, licensed in New York (174853) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114919917
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JONATHAN M. JACOBSCredential: M.D.
Location Address5100 W TAFT RD, SUITE 2ALiverpool, NY 13088-3807
Mailing Address4567 Crossroads Park Dr, 2nd FloorLiverpool, NY 13088-3589 · (315) 295-2100 · Fax (315) 295-2125
Phone(315) 452-2555
Fax(315) 452-2559
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateMarch 12, 2008
✔ NPI 1114919917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 174853
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5100 W TAFT RD, Liverpool, NY 13088
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Other Identifiers 6

Medicare UPINF42860
Medicare PINRB7118NY
Medicare PIN34589Q
Medicare PINCC4273
Medicaid01428151NY
Medicare PIN50019Q

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan M. Jacobs M.d. 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 13088 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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. THOMAS J FALLON D.D.S.P.C.
Dentist (Oral and Maxillofacial Pathology)
5100 W TAFT RD, SUITE #3M NORTH MEDICAL CENTER
LIVERPOOL, NY 13088
Onondaga County (315) 452-2570
THOMAS LLOYD FEIGMAN MD
Obstetrics & Gynecology (Gynecology)
5100 W TAFT RD, SUITE 3G
LIVERPOOL, NY 13088
Onondaga County (315) 452-2968
JODY S BLEIER MD
Internal Medicine (Cardiovascular Disease)
5100 W TAFT RD, SUITE 4J
LIVERPOOL, NY 13088
Onondaga County (315) 701-2170
DR. OMAR GUESMIA DDS
Dentist
5100 W TAFT RD, SUITE 3K
LIVERPOOL, NY 13088
Onondaga County (315) 452-2700
PATRICIA J SZYMANOWSKI ANP
Urology
5100 W TAFT RD, SUITE 4-D
LIVERPOOL, NY 13088
Onondaga County (315) 458-6669
DR. GARY D LEAVITT M.D.
Radiology (Diagnostic Radiology)
5100 W TAFT RD, SUITE 2A
LIVERPOOL, NY 13088
Onondaga County (315) 452-2555
DR. ROBERT J WEISS MD
Surgery
5100 W TAFT RD, SUITE 2Q
LIVERPOOL, NY 13088
Onondaga County (315) 452-2727
DR. EDWARD RANDOLPH NOBLE JR. M.D.
Radiology (Neuroradiology)
5100 W TAFT RD, SUITE 2A
LIVERPOOL, NY 13088
Onondaga County (315) 452-2555

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 Jonathan Jacobs's NPI number?

The NPI number for Jonathan Jacobs is 1114919917. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Jonathan Jacobs located?

Jonathan Jacobs practices at 5100 W Taft Rd Suite 2A, Liverpool, NY 13088. The listed phone number is (315) 452-2555.

What is Jonathan Jacobs's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jonathan Jacobs enrolled in Medicare?

Yes. Jonathan Jacobs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Jacobs was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.