Individual Healthcare Provider
Kristin Michelle Jacobs
Provider's NPPES record last updated: March 22, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1275823296
- Primary Specialty
- Urology — Urogynecology and Reconstructive Pelvic Surgery
- Practice Location
- Chicago, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 11:55 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Urology
Urogynecology and Reconstructive Pelvic Surgery
Allopathic & Osteopathic Physicians
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Taxonomy code 2088F0040X Obstetrics & Gynecology
Allopathic & Osteopathic Physicians
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Taxonomy code 207V00000X
Provider-Reported License Information
- Urology (Illinois)
- 036-0147049
- Obstetrics & Gynecology (Rhode Island)
- MD15052
- Obstetrics & Gynecology (Illinois)
- 036-0147049
Practice Locations
Practice Location
1725 W Harrison St Ste 1138
Chicago, Illinois 60612
Phone: (312) 563-6000
Additional Practice Location
101 Plain St
5th Floor
Providence, Rhode Island 02903-4828
Phone: (401) 453-7570
Fax: (401) 453-7573
Record Information
- Enumeration Date
- April 11, 2011
- Provider's NPPES Record Last Updated
- March 22, 2022
- Certification Date
- March 22, 2022
- NPISignal NPPES Dataset
- August 2026
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