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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA JACOB MD
NPI 1053992560
Anesthesiology - Pain Medicine in Detroit, MI

Active since April 16, 2021PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2545 Get Directions Write a Review

NPPES record last updated: August 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2026, Mar 6, 2025, Jul 20, 2022 and 1 more (4 updates tracked since 2021).

About Angela Jacob Md NPPES

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

ANGELA JACOB MD (NPI 1053992560) is an individual pain medicine provider in Detroit, Michigan, licensed in Michigan (4301518634) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1053992560
Entity TypeIndividualFemale
Primary Taxonomy207LP2900X
Provider Legal NameANGELA JACOBCredential: MD
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (800) 436-7936
Phone(313) 916-2545
Sole ProprietorNo
Enumeration DateApril 16, 2021
Last NPPES UpdateAugust 29, 20264 updates tracked since enumeration
NPPES CertifiedAugust 29, 2026
✔ NPI 1053992560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in MI · 4301518634
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 4301518634 (MI)
2799 W GRAND BLVD, Detroit, MI 48202
Open in Google Maps ↗

Secondary Practice Location 1

Location 13471 Fifth Avenue, Suite 402Pittsburgh, PA 15213 · Phone (412) 692-4528

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Jacob Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Angela Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health System
Same address
Anesthesiology
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 130 clinicians in this Medicare group
NPI 1003989690 (313) 916-2600
W.A. Foote Memorial Hospital
58 mi
Urology
205 N. EAST AVE, ATTN: PROVIDER ENROLLMENT
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 474 clinicians in this Medicare group
NPI 1073051199 (517) 841-7843

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HENRY FORD HOSPITAL
General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. BRENT DAVID GRIFFITH M.D.
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KANIKA KHANNA M.D
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. FADL A CHOKR M.D.
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
AVI COHEN M.D.
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
LINDSEY AURORA
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KYLE KRUPA
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
ALEXANDER GARBARINO
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600

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 Angela Jacob's NPI number?

The NPI number for Angela Jacob is 1053992560. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Angela Jacob located?

Angela Jacob practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2545.

What is Angela Jacob's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Angela Jacob enrolled in Medicare?

Yes. Angela Jacob is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Angela Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Jacob reassigns Medicare benefits to 2 organizations: Henry Ford Health System (Detroit, MI) and W.A. Foote Memorial Hospital (Jackson, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angela Jacob was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 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.