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

Dr. Alexis Danielle Jacob, MD

Individual provider Surgery Physician · NPI 1881924819

Dr. Alexis Danielle Jacob, MD is a Vascular Surgery in Madison, Wisconsin. Graduated from Baylor College of Medicine in 2005, 21 years ago. Practices with Dean Health Systems Inc, a 1,184-clinician group and accepts Medicare assignment. Licensed in Texas and Wisconsin.

Years since qualifying
21
Trained at
Baylor College of Medicine
Licensed in
TX, WI
In the registry since
2010
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

700 S Park St Ste A
Madison, WI 53715-1830
Phone: (608) 260-2900
Fax: (608) 260-2961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 77962-20 (WI)
Surgery Physician Taxonomy 208600000X · Licence BP10023656 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence N6891 (TX)

Record details

NPI number1881924819
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 14, 2010
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Dean Health Systems Inc — 1184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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