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DR. ELIZABETH S JACOBS MD
NPI 1871516963
Pediatrics - Pediatric Emergency Medicine in Providence, RI

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903(401) 519-1604(401) 272-0538 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Elizabeth S Jacobs Md NPPES

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

DR. ELIZABETH S JACOBS MD (NPI 1871516963) is an individual pediatric emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD12366) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1997).

NPPES Registry Identity

NPI1871516963
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. ELIZABETH S JACOBSCredential: MD
Location Address593 EDDY ST, CLAVERICK 2Providence, RI 02903
Mailing AddressPo Box 9484Providence, RI 02940-9484 · (401) 854-2500 · Fax (401) 854-2519
Phone(401) 519-1604
Fax(401) 272-0538
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1997
Enumeration DateJuly 26, 2006
Last NPPES UpdateFebruary 12, 2010
✔ NPI 1871516963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in RI · MD12366
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
593 EDDY ST, Providence, RI 02903
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Other Identifiers 9

Other007059436RI · Ri Medicare
Other07/24/2007RI · Bcbs
Other939025129RI · Ri Medicare Group Number
Other1871516963RI · Npi
Other04/15/2009RI · United Healthcare
Medicaid2135001MA
Other09/13/2007RI · Nhpri
Other12/29/2008MA · Tufts Health Plan
Medicaid1871516RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elizabeth S Jacobs Md 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 ID9234220419
PECOS Enrollment IDI20070801000705
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.

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. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

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 Elizabeth Jacobs's NPI number?

The NPI number for Elizabeth Jacobs is 1871516963. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Elizabeth Jacobs located?

Elizabeth Jacobs practices at 593 Eddy St Claverick 2, Providence, RI 02903. The listed phone number is (401) 519-1604.

What is Elizabeth Jacobs's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Elizabeth Jacobs enrolled in Medicare?

Yes. Elizabeth Jacobs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elizabeth Jacobs was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.