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

Q: 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.

Q: What is Elizabeth Jacobs's specialty?

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

Q: 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.

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: October 25, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Elizabeth Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brown Emergency Medicine

Same address

Emergency Medicine

593 EDDY ST, CLAVERICK 2
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
201 clinicians in this Medicare group

NPI 1962455022 (401) 444-4000

Lifespan Physician Group, Inc.

Same address

General Practice

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
1,372 clinicians in this Medicare group

NPI 1407116643 (401) 444-6779

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

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

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

FANNY HUANG MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4741

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.

Which organizations bill Medicare for Elizabeth Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Jacobs reassigns Medicare benefits to 2 organizations: Brown Emergency Medicine (Providence, RI) and Lifespan Physician Group, Inc. (Providence, RI). Each 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 Elizabeth Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.