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Deactivated NPI 1518036003 Deactivated / Inactive NPI Male Practitioner

William R Jacobs

Internal Medicine • Maywood, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, William Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2006
NPI Deactivation Date October 09, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

William Jacobs was a registered Internal Medicine practicing in Maywood, IL. Throughout an active medical career spanning 19 years, William Jacobs provided care at the practice location at 2160 S FIRST AVE until profile deactivation on 2025-10-09.

Historical Medicare Part B clinical services included ultrasound of heart with color-depicted blood flow, rate, direction and valve function, subsequent hospital care with moderate levelof medical decision making, if using time, at least, outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2160 S First Ave
Luh - North Ent., Rm. 7604

Maywood, IL 60153

Telephone 7082168757
Fax 7082161259
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Maywood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
264 Specialists

Practicing in Maywood, IL (7544 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
304 301 $995.00 $76.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
111 52 $186.00 $77.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
100 84 $65.00 $9.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes
84 33 $121.00 $40.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
77 66 $97.00 $27.45
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
39 39 $995.00 $75.34

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036049051

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Sofia Ahmed , MD

Internal Medicine

NPI 1013667922

Doctor of Medicine (M.D.)

Dr. Shelly Lo , MD

Internal Medicine - Hematology & Oncology

NPI 1013994086

Doctor of Medicine (M.D.)

Dr. Patrick Fahey , MD

Internal Medicine - Critical Care Medicine

NPI 1013994995

Doctor of Medicine (M.D.)

Dr. Franco Laghi , MD

Internal Medicine - Critical Care Medicine

NPI 1083691984

Doctor of Medicine (M.D.)

Dr. Jorge Parada , MD, MPH

Internal Medicine - Infectious Disease

NPI 1114904471

Doctor of Medicine (M.D.), Master of Public Health

Dr. Amal Jubran , MD

Internal Medicine - Pulmonary Disease

NPI 1134106081

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated October 09, 2025

Record deactivated on October 09, 2025

NPI Profile Active September 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location September 18, 2009

Registered at 2160 S FIRST AVE, LUH - NORTH ENT., RM. 7604, MAYWOOD, IL 60153 (Tel: 7082168757)

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Updated Business Mailing Address September 18, 2009

Registered at 2160 S FIRST AVE, LUH - NORTH ENT., RM. 7604, MAYWOOD, IL 60153 (Tel: 7082168757)

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Provider Name / Credentials Updated September 18, 2009

Recorded as WILLIAM JACOBS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2009

Internal Medicine (License #036049051 in IL)

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Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518036003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: September 18, 2009
Deactivation Date: October 09, 2025

Mailing Address

2160 S First Ave, Luh - North Ent., Rm. 7604

Maywood, IL 60153

Phone: 7082168757

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.