JACOB BAUSS MD
NPI 1023711199
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Jacob Bauss Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB BAUSS MD (NPI 1023711199) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351055572) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of Michigan State University College Of Human Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Bauss Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic Hospital Rochester
Acute Care Hospitals · Rochester, MNOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Bauss's NPI number?
The NPI number for Jacob Bauss is 1023711199. It was assigned to this individual provider in the NPPES registry on March 27, 2023. The provider is also known as Jake Bauss MD.
Where is Jacob Bauss located?
Jacob Bauss practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.
What is Jacob Bauss's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacob Bauss enrolled in Medicare?
Yes. Jacob Bauss is registered in the Medicare PECOS enrollment system.
Is Jacob Bauss affiliated with any hospitals?
According to CMS data, Jacob Bauss is affiliated with Mayo Clinic Hospital Rochester.
When was this NPI record last updated?
The NPPES record for Jacob Bauss was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacob Bauss, MD · NPI 1023711199
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1023711199 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351055572 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (313) 916-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Medical school:** Michigan State University College Of Human Medicine, class of 2023
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023711199) · Data from the CMS NPPES public registry.