MIRIAM SARA JACOB MD NPI 1477587780

NPI Information

  • NPI: 1477587780
  • Provider Name: MIRIAM SARA JACOB, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9500 EUCLID AVE
    J3-4
    CLEVELAND, OH
    ZIP 44195
  • Phone: (216) 444-4036

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NPI Details

Miriam Sara Jacob, MD is a cardiovascular disease internal medicine in Cleveland, OH with 22 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Miriam Sara Jacob, MD NPI is 1477587780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

9500 EUCLID AVE
J3-4
CLEVELAND, OH
ZIP 44195-001
Phone: (216) 444-4036
Fax: (216) 445-6192

The NPI 1477587780 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Insertion of tube in right heart chambers for measurement (HCPCS:93451)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)

The enumeration date for this NPI number is 7/10/2006 and was last updated on 3/31/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseD72731MARYLANDNo
2207RC0000XInternal MedicineCardiovascular Disease35.121506OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I59030MEDICARE UPIN
2440701600MEDICAIDMARYLAND
3223740Y3WMEDICARE PINMARYLAND
4974679-01OTHERMARYLANDCAREFIRST BC/BS
5S062-0435OTHERMARYLANDCAREFIRST BC/BS - REGIONAL
6P00972309MEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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