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RYAN CLINTON JACOBS MD
NPI 1740923556
Internal Medicine in Louisville, KY

Active since April 19, 2022PECOS Enrolled
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202(502) 240-8912 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2024, Apr 19, 2022 (2 updates tracked since 2022).

About Ryan Clinton Jacobs Md NPPES

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

RYAN CLINTON JACOBS MD (NPI 1740923556) is an individual internal medicine provider in Louisville, Kentucky, licensed in Mississippi (T-5268) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740923556
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRYAN CLINTON JACOBSCredential: MD
Location Address500 S PRESTON ST RM 305Louisville, KY 40202-1702
Mailing Address2500 N State StJackson, MS 39216-4500 · (502) 240-8912
Phone(502) 240-8912
Sole ProprietorYes
Enumeration DateApril 19, 2022
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1740923556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · T-5268
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.
500 S PRESTON ST RM 305, Louisville, KY 40202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Clinton Jacobs 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 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

JULIANNE GRACE SCHULTZ
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (703) 677-1433
CHELSEA FATHAUER
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (812) 560-7611
QUENTIN VIRGIL WISE
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (323) 640-1105
SYMONE JORDAN
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 852-5193
CALEB X HE
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (859) 878-5655
RAHAF ALREFAI
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 810-4028
AUSTIN GREGORY CLARK
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 202-0106
JOHN R DODDS
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (270) 339-1091

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 Ryan Jacobs's NPI number?

The NPI number for Ryan Jacobs is 1740923556. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Ryan Jacobs located?

Ryan Jacobs practices at 500 S Preston St Rm 305, Louisville, KY 40202. The listed phone number is (502) 240-8912.

What is Ryan Jacobs's specialty?

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

Is Ryan Jacobs enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Jacobs was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.