DR. EVAN S JACOBS (M.D.) – Cardiovascular Disease Physician, NPI 1215179882

DR. EVAN S JACOBS (M.D.) is a healthcare provider. based in Coconut creek, Florida. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME 122723 (FL). The NPI Number for DR. EVAN S JACOBS (M.D.) is 1215179882

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVAN S JACOBS (M.D.)
NPI
1215179882
Phone
(954) 247-2168
Address
4828 COCONUT CREEK PARKWAY
Enumeration Date
29 March 2009
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
9542472168
Graduation Year
2009 (17 years ago)
PAC ID
1456665926
Group Practice PAC ID
2365729308
Professional Enrollment ID
I20150729007576
Address ID
FL330633904CO4828XPKWY400

Contacts

Secure Messaging
evan.jacobs@conviva.eclinicaldirectplus.com
Secure Messaging
evan.jacobs.2@29601.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness95
Years active:17State licenses:3Other names

2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL

Provider Addresses for DR. EVAN S JACOBS (M.D.)

  • 4828 COCONUT CREEK PARKWAY

    COCONUT CREEK, FL 33063

    Phone: (954) 247-2168

    Fax: (844) 501-2948

    Type: Location

  • Blue Lagoon Drive, Miami-Dade County, Florida, 33126, United States

    MIAMI, FL 331262051

    Phone: (305) 500-2000

    Type: Mailing

  • State Road 7, Margate, Broward County, Florida, 33067-3176, United States

    MARGATE, FL 330635713

    Phone: (954) 247-2168

    Fax: (844) 640-6842

    Type: Location

  • 2131 N State Road 7

    Margate, FL 330635713

    Phone: (954) 247-2168

    Fax: (844) 640-6842

    Type: Location

  • 6101 BLUE LAGOON DR STE 200

    MIAMI, FL 331263168

    Phone: (305) 500-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $1,984.

Total Amount is formed as General ($1,984) + Research ($0) + Ownership ($0) = $1,984.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Medtronic, Inc. ($763).

Total Amount

$1,984

General + Research + Ownership

Payments

41

Total payment records

General Amount

$1,984

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150729007576ICardiovascular Disease (Cardiology)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365729308View full group profile
NameSpecialtyState
P O D I A T R YFL
Nurse PractitionerFL
P O D I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL
P O D I A T R YFL
Nurse PractitionerFL
P O D I A T R YFL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Can I verify DR. EVAN S JACOBS (M.D.) with an NPI only?
You can start verification with NPI 1215179882 for DR. EVAN S JACOBS (M.D.), then check state licensing separately.
Does the file indicate DR. EVAN S JACOBS (M.D.) is practicing under active NPI?
Directory data currently reports DR. EVAN S JACOBS (M.D.) as active.
What healthcare role does DR. EVAN S JACOBS (M.D.) hold?
Scheduling teams often label DR. EVAN S JACOBS (M.D.) under Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does DR. EVAN S JACOBS (M.D.) list a practice location?
Patients near Coconut Creek, Florida may find DR. EVAN S JACOBS (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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