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

Dr. Michael Craig Jacobson, MD

Individual provider Urology Physician · NPI 1497736177

Dr. Michael Craig Jacobson, MD is an Urology in Meridian, Idaho. Qualified in 1997, 29 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Idaho.

Years since qualifying
29
Licensed in
CA, ID
In the registry since
2005
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

520 S Eagle Rd Ste 3112
Meridian, ID 83642-6352
Phone: (208) 706-5800
Fax: (208) 706-5810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 6671934 (ID)
Urology Physician Taxonomy 208800000X · Licence A97915 (CA)

Record details

NPI number1497736177
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations15 on file with Medicare

Other providers in Meridian