DR. EVAN S JACOBS M.D.
NPI 1215179882
Internal Medicine - Cardiovascular Disease in Coconut Creek, FL

Q: What is Evan Jacobs's NPI number?

The NPI number for Evan Jacobs is 1215179882. It was assigned to this individual provider in the NPPES registry on March 29, 2009.

Q: What is Evan Jacobs's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Jacobs was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since March 29, 2009PECOS EnrolledAccepts Medicare Assignment

4828 COCONUT CREEK PARKWAY, COCONUT CREEK, FL 33063(954) 247-2168(844) 501-2948 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2026, Jul 8, 2024, Sep 7, 2022 and 4 more (7 updates tracked since 2019).

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About Dr. Evan S Jacobs M.d. NPPES

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

DR. EVAN S JACOBS M.D. (NPI 1215179882) is an individual cardiovascular disease provider in Coconut Creek, Florida, licensed in Florida (ME 122723) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Margate, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2009).

NPPES Registry Identity

NPI1215179882

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. EVAN S JACOBSCredential: M.D.

Location Address4828 COCONUT CREEK PARKWAYCoconut Creek, FL 33063

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000

Phone(954) 247-2168

Fax(844) 501-2948

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2009

Enumeration DateMarch 29, 2009

Last NPPES UpdateMarch 6, 20267 updates tracked since enumeration

NPPES CertifiedMarch 6, 2026

✔ NPI 1215179882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in FL · ME 122723✔ Licensed in LA · MD.205228

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME 122723 (FL), MD. 205228 (LA)

4828 COCONUT CREEK PARKWAY, Coconut Creek, FL 33063

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Secondary Practice Location 1

Location 12131 N State Road 7Margate, FL 33063-5713 · Phone (954) 247-2168 · Fax (844) 640-6842

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Evan S Jacobs M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456665926

PECOS Enrollment IDI20150729007576

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.

Medicare Billing Reassignment

Medicare enrollment records show Evan Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conviva Specialty, LLC

38 mi

Cardiovascular Disease

12905 SW 42ND ST STE 103
Miami, FL 33175

Reassigned Medicare billing, Florida enrollment
48 clinicians in this Medicare group

NPI 1326498676 (786) 801-5620

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33063 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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 8

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

DR. SUNPREET K MANN M.D.

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