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

Q: 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.

Q: What is Angela Jacob's specialty?

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

Q: 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 15 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.

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: September 06, 2026.

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

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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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

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