JACOB JOHN BAKER MD, PHD
NPI 1093377012
Internal Medicine in Grand Rapids, MI

Q: What is Jacob Baker's NPI number?

The NPI number for Jacob Baker is 1093377012. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Q: What is Jacob Baker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Baker was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 June 29, 2019PECOS EnrolledAccepts Medicare Assignment

25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503(616) 391-3777 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2019, Jul 1, 2019 (2 updates tracked since 2019).

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About Jacob John Baker Md, Phd NPPES

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

JACOB JOHN BAKER MD, PHD (NPI 1093377012) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351045602) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093377012

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJACOB JOHN BAKERCredential: MD, PHD

Location Address25 MICHIGAN ST NE STE 2100Grand Rapids, MI 49503-2526

Mailing Address25 Michigan St Ne Ste 2100Grand Rapids, MI 49503-2526

Phone(616) 391-3777

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 29, 2019

Last NPPES UpdateMay 31, 20222 updates tracked since enumeration

NPPES CertifiedMay 31, 2022

✔ NPI 1093377012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4351045602

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

25 MICHIGAN ST NE STE 2100, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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 John Baker Md, Phd 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 ID3072841436

PECOS Enrollment IDI20241227002214

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230017

Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County

Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHELBY ELEANOR KELSH PHARMD

Pharmacist (Ambulatory Care)