DR. MARC S JACOBSON MD
NPI 1922178367
Pediatrics - Adolescent Medicine in Tucson, AZ

Q: What is Marc Jacobson's NPI number?

The NPI number for Marc Jacobson is 1922178367. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is Marc Jacobson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Jacobson was last updated on August 18, 2021. 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 09, 2006PECOS Enrolled

1500 N WILMOT RD STE B250, TUCSON, AZ 85712(520) 324-7840(520) 324-7839 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2021, May 12, 2021, Sep 16, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Marc S Jacobson Md NPPES

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

DR. MARC S JACOBSON MD (NPI 1922178367) is an individual adolescent medicine provider in Tucson, Arizona, licensed in Arizona (58728) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922178367

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameDR. MARC S JACOBSONCredential: MD

Location Address1500 N WILMOT RD STE B250Tucson, AZ 85712-4416

Mailing AddressPo Box 31235Tucson, AZ 85751-1235 · (520) 324-4100 · Fax (520) 324-1406

Phone(520) 324-7840

Fax(520) 324-7839

Sole ProprietorNo

Enumeration DateNovember 9, 2006

Last NPPES UpdateAugust 18, 20214 updates tracked since enumeration

NPPES CertifiedAugust 18, 2021

✔ NPI 1922178367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Licenses✔ Licensed in AZ · 58728✔ Licensed in NY · 162392

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1500 N WILMOT RD STE B250, Tucson, AZ 85712

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Other Identifiers 1

Medicaid549189AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc S Jacobson 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.

Other Providers at the Same Location NPPES 5

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

DR. KEVIN LESTER ALMOJUELA ARANAS MD

Pediatrics (Developmental - Behavioral Pediatrics)