Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deborah Lynn Jacobson, MD

Individual provider Pediatric Urology Physician · NPI 1205126257

Deborah Lynn Jacobson, MD is an Urology in Salt Lake City, Utah. Graduated from University of Pittsburgh School of Medicine in 2011, 15 years ago. Practices with University of Utah Pediatric Services, a 119-clinician group and accepts Medicare assignment. Licensed in Idaho, Illinois and Utah.

Years since qualifying
15
Trained at
University of Pittsburgh School of Medicine
Licensed in
ID, IL, UT
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 N Mario Capecchi Dr Ste 3550
Salt Lake City, UT 84113-1103
Phone: (801) 662-5555
Fax: (801) 662-5547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X · Licence 10687955-8905 (UT)
Pediatric Urology Physician Taxonomy 2088P0231X · Licence 036.140152 (IL)
Pediatric Urology Physician Taxonomy 2088P0231X · Licence M-14378 (ID)

Record details

NPI number1205126257
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice University Of Utah Pediatric Services — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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