JACOB AL-KHARUSY MD
NPI 1043876659
Anesthesiology in Grand Rapids, MI

Active since May 20, 2019PECOS EnrolledAccepts Medicare Assignment
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 685-5000 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 15, 2023, May 20, 2019 (2 updates tracked since 2019).

About Jacob Al-kharusy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB AL-KHARUSY MD (NPI 1043876659) is an individual anesthesiology provider in Grand Rapids, Michigan, licensed in Michigan (4301509113) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Michigan State University College Of Human Medicine (2019).

NPPES Registry Identity

NPI1043876659
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJACOB AL-KHARUSYCredential: MD
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing Address2244 Monroe Ave NwGrand Rapids, MI 49505-4073 · (734) 717-4666
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2019
Enumeration DateMay 20, 2019
Last NPPES UpdateJanuary 26, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
NPI 1043876659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in MI · 4301509113
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

200 JEFFERSON AVE SE, Grand Rapids, MI 49503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Al-kharusy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739515172
PECOS Enrollment IDI20240129003101
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Registered Nurse
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

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 Al-kharusy's NPI number?

The NPI number for Jacob Al-kharusy is 1043876659. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Jacob Al-kharusy located?

Jacob Al-kharusy practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-5000.

What is Jacob Al-kharusy's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jacob Al-kharusy enrolled in Medicare?

Yes. Jacob Al-kharusy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacob Al-kharusy affiliated with any hospitals?

According to CMS data, Jacob Al-kharusy is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Jacob Al-kharusy was last updated on January 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.