Kenneth Jacobs, M.D.
NPI 1417055518 · Obstetrics & Gynecology Physician · Portland, OR
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Jacobs, M.D. is a Obstetrics & Gynecology Physician provider in Portland, OR (NPI 1417055518).
Provider details
- NPI number
- 1417055518
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD22997 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 351 Sw 9th StOntario, OR 97914-2639Phone: (541) 881-7184Fax: (541) 881-7016
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Frequently asked questions
- What is Kenneth Jacobs's NPI number?
- Kenneth Jacobs's National Provider Identifier (NPI) is 1417055518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Jacobs's specialty?
- Kenneth Jacobs is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Jacobs located?
- Kenneth Jacobs's practice location on file with NPPES is 2801 N Gantenbein Ave, Portland, OR 97227-1623.
- What is Kenneth Jacobs's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Jacobs is (503) 413-2200.
- Does Kenneth Jacobs accept Medicare?
- Kenneth Jacobs is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Jacobs's NPI active?
- Yes — Kenneth Jacobs's NPI (1417055518) is active in the NPPES registry as of the last update on 2025-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.