Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1194881920 Deactivated / Inactive NPI Male Practitioner

Dr. Michael E Jacobs , MD

Internal Medicine • Vineyard Haven, MA

⚠️

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, Dr. Michael Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 28, 2006
NPI Deactivation Date October 30, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Jacobs, MD was a registered Internal Medicine practicing in Vineyard Haven, MA. Throughout an active medical career spanning 19 years, Dr. Jacobs provided care at the practice location at 364 STATE RD until profile deactivation on 2025-10-30.

Practice Location & Contact Primary Location

Practice Address

364 State Rd

Vineyard Haven, MA 025685624

Telephone 5086934400
Fax 5086932098
Associated Practice Facility / Clinic
🏢 Vineyard Medical Services Pc Facility NPI 1316130701

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Vineyard Haven, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 51.0 Yrs
State Avg: 29.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Vineyard Haven, MA (7127 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 35096

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

4 Associated Practitioners
Dr. Kathleen Koehler , MD

Internal Medicine

NPI 1013967140

Doctor of Medicine (M.D.)

Dagmar Dockery , NP

Nurse Practitioner

NPI 1386781797

Nurse Practitioner

Sarah Shannon , APRN

Nurse Practitioner - Family

NPI 1467295519

Advanced Practice Registered Nurse

Marcy Holmes , NP

Nurse Practitioner - Women's Health

NPI 1760582969

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated October 30, 2025

Record deactivated on October 30, 2025

NPI Profile Active February 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2012

Registered at 364 STATE RD, VINEYARD HAVEN, MA 025685624 (Tel: 5086934400)

📍
Updated Business Mailing Address February 27, 2012

Registered at 364 STATE RD, VINEYARD HAVEN, MA 025685624 (Tel: 5086934400)

👤
Provider Name / Credentials Updated February 27, 2012

Recorded as MICHAEL JACOBS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2012

Internal Medicine (License #35096 in MA)

🟢
Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Michael Jacobs. Be the first to share your experience!

Sign in to leave a review for Dr. Michael Jacobs

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194881920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: February 27, 2012
Deactivation Date: October 30, 2025

Mailing Address

364 State Rd

Vineyard Haven, MA 025685624

Phone: 5086934400

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.