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

Dr. Deanne Renee Jacobs, MD

Individual provider Surgery Physician · NPI 1124438163

Dr. Deanne Renee Jacobs, MD is a General Surgery in Hamilton, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2014, 12 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
12
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
IN, OH
In the registry since
2014
Specialties on file
2
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

1380 NW Washington Blvd
Hamilton, OH 45013-1208
Phone: (513) 737-3690
Fax: (513) 737-3698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 35.151176 (OH)
Surgery Physician Taxonomy 208600000X · Licence 01077379A (IN)

Record details

NPI number1124438163
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2014
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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