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Active NPI 1215913348 Individual Practitioner Male Practitioner

Dr. Irwin Jacobson , DO

General Practice • Phila, PA

Professional Overview & Biography Verified Profile Summary

Dr. Irwin Jacobson, DO is a registered healthcare professional specializing in General Practice in Phila, PA. Practice services are available at 4000 N 9TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4000 N 9th St

Phila, PA 191402209

Telephone 2152297800
Fax 2152293693
Associated Practice Facility / Clinic
🏢 Temple Physicians Inc. Facility NPI 1336291954

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Phila, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Phila, PA (434 Statewide)

Telehealth Adoption Rate
0.0% 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PA OS002250L

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000658424 (PA)
Commercial Insurance / Payer ID Health Net
3Y7795 (PA)
Commercial Insurance / Payer ID Kmhp
30019058 (PA)
Commercial Insurance / Payer ID Rr Medicare
P00264978 (PA)
Commercial Insurance / Payer ID Bravo Health
1418 (PA)
Commercial Insurance / Payer ID Independence Blue Cross
0058370000 (PA)
Commercial Insurance / Payer ID Aetna Ppo
4088577 (PA)
Commercial Insurance / Payer ID Aetna Hmo
0019190 (PA)
Commercial Insurance / Payer ID Highmark Blue Shield
041665 (PA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2011

Registered at 4000 N 9TH ST, PHILA, PA 191402209 (Tel: 2152297800)

📍
Updated Business Mailing Address July 18, 2011

Registered at PO BOX 820933, PHILA, PA 191820933 (Tel: 2159269010)

👤
Provider Name / Credentials Updated July 18, 2011

Recorded as IRWIN JACOBSON, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2011

General Practice (License #OS002250L in PA)

🟢
Initial NPI Registration & Enumeration December 20, 2005

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: 1215913348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2005
Last Update: July 18, 2011
Sole Proprietor: No

Mailing Address

Po Box 820933

Phila, PA 191820933

Phone: 2159269010

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.