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MARY R JACOBS M.D.
NPI 1972569242
Internal Medicine - Rheumatology in Indianapolis, IN

Active since April 25, 2006PECOS Enrolled
550 N UNIVERSITY BLVD, UH 2180, INDIANAPOLIS, IN 46202(317) 944-7718 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary R Jacobs M.d. NPPES

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

MARY R JACOBS M.D. (NPI 1972569242) is an individual rheumatology provider in Indianapolis, Indiana, licensed in Indiana (01043640) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972569242
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMARY R JACOBSCredential: M.D.
Location Address550 N UNIVERSITY BLVD, UH 2180Indianapolis, IN 46202-2879
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 944-7718
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
✔ NPI 1972569242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IN · 01043640
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
550 N UNIVERSITY BLVD, UH 2180, Indianapolis, IN 46202
Open in Google Maps ↗

Other Identifiers 1

Medicaid200026240IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary R Jacobs M.d. 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 Mary Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Diagnostic Associates, Inc.
1.1 mi
Internal Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 358 clinicians in this Medicare group
NPI 1861441537 (317) 274-8660

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 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Mary Jacobs's NPI number?

The NPI number for Mary Jacobs is 1972569242. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Mary Jacobs located?

Mary Jacobs practices at 550 N University Blvd, Uh 2180, Indianapolis, IN 46202. The listed phone number is (317) 944-7718.

What is Mary Jacobs's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Mary Jacobs enrolled in Medicare?

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

Which organization bills Medicare for Mary Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jacobs reassigns Medicare benefits to University Medical Diagnostic Associates, Inc. (Indianapolis, IN). 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 Mary 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 Mary Jacobs was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.