DR. SAMUEL LABAN JACOBS MD
NPI 1881677508
Obstetrics & Gynecology in Fort Lauderdale, FL

Q: What is Samuel Jacobs's NPI number?

The NPI number for Samuel Jacobs is 1881677508. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Q: What is Samuel Jacobs's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Jacobs was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 28, 2005PECOS Enrolled

780 SW 24TH ST, FORT LAUDERDALE, FL 33315(954) 412-7252(954) 848-2685 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2022, Dec 14, 2021 (2 updates tracked since 2021).

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About Dr. Samuel Laban Jacobs Md NPPES

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

DR. SAMUEL LABAN JACOBS MD (NPI 1881677508) is an individual obstetrics & gynecology provider in Fort Lauderdale, Florida, licensed in Florida (ME124293) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1881677508

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. SAMUEL LABAN JACOBSCredential: MD

Location Address780 SW 24TH STFort Lauderdale, FL 33315-2643

Mailing Address780 Sw 24th StFort Lauderdale, FL 33315-2643 · (954) 467-4700 · Fax (954) 467-4704

Phone(954) 412-7252

Fax(954) 848-2685

Sole ProprietorNo

Enumeration DateNovember 28, 2005

Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration

NPPES CertifiedMarch 7, 2022

✔ NPI 1881677508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in FL · ME124293✔ Licensed in NJ · 25MA06031700✔ Licensed in PA · MD039416L

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · Reproductive EndocrinologyTaxonomy 207VE0102X · License MD039416L (PA), 25MA060317100 (NJ)

780 SW 24TH ST, Fort Lauderdale, FL 33315

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Secondary Practice Location 1

Location 1500 S Broad StPhiladelphia, PA 19146-1613 · Phone (215) 685-6576 · Fax (215) 685-6592

Other Identifiers 1

Medicaid0157600300FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Laban 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.

Medicare Billing Reassignment

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

Florida Department Of Health

Same address

Public Health or Welfare

780 SW 24TH STREET
Fort Lauderdale, FL 33315

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

NPI 1073580890 (954) 467-4700

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 33315 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 19

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

BROWARD COUNTY DEPARTMENT OF HEALTH

Public Health or Welfare

780 SW 24TH ST
FORT LAUDERDALE, FL 33315

Broward County (954) 467-4771

DR. PAULA MICHELE THAQI M.D.

Pediatrics

780 SW 24TH ST
FORT LAUDERDALE, FL 33315

Broward County (954) 467-4700

DIANA A LYNCH ARNP

Nurse Practitioner (Women's Health)

780 SW 24TH ST, MEDICAL ADMINSTRATION
FORT LAUDERDALE, FL 33315

Broward County (954) 467-4822

DR. MANAL F MESSIHA DDS

Dentist (Dental Public Health)

780 SW 24TH ST
FORT LAUDERDALE, FL 33315

Broward County (954) 467-4842

JOHN RUSSELL LIVENGOOD M.D.

Pediatrics

780 SW 24TH ST, MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL 33315

Broward County (954) 467-4822

RACHEL ELIZABETH LAROCHELLE ARNP

Nurse Practitioner (Women's Health)

780 SW 24TH ST, MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL 33315

Broward County (954) 467-4822

EVRIL J PARRIS ARNP

Nurse Practitioner (Women's Health)

780 SW 24TH ST, MEDICAL ADMINSITRATION
FORT LAUDERDALE, FL 33315

Broward County (954) 467-4700

MARY FRANCES DEDMON ARNP

Nurse Practitioner (Primary Care)

780 SW 24TH ST, MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL 33315

Broward County (954) 467-4822

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 Samuel Jacobs's NPI number?

The NPI number for Samuel Jacobs is 1881677508. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Samuel Jacobs located?

Samuel Jacobs practices at 780 SW 24th St, Fort Lauderdale, FL 33315. The listed phone number is (954) 412-7252.

What is Samuel Jacobs's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Samuel Jacobs enrolled in Medicare?

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

Which organization bills Medicare for Samuel Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Jacobs reassigns Medicare benefits to Florida Department Of Health (Fort Lauderdale, FL). The 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 Samuel 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 Samuel Jacobs was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.