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JACOB ROBERT KLEIN M.D.
NPI 1093568529
Student in an Organized Health Care Education/Training Program in Warren, MI

Active since April 05, 2024PECOS Enrolled
11885 E 12 MILE RD STE 200B, WARREN, MI 48093(586) 582-6630(586) 582-6631 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2024, Apr 5, 2024 (2 updates tracked since 2024).

About Jacob Robert Klein M.d. NPPES

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

JACOB ROBERT KLEIN M.D. (NPI 1093568529) is an individual student in an organized health care education/training program in Warren, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093568529
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB ROBERT KLEINCredential: M.D.
Location Address11885 E 12 MILE RD STE 200BWarren, MI 48093-3469
Mailing Address11885 E 12 Mile Rd Ste 200bWarren, MI 48093-3469 · (586) 582-6630 · Fax (586) 582-6631
Phone(586) 582-6630
Fax(586) 582-6631
Sole ProprietorYes
Enumeration DateApril 5, 2024
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1093568529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11885 E 12 MILE RD STE 200B, Warren, MI 48093
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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 Robert Klein M.d. 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.

BASSEL ALKHATIB MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
DAVID CARROLL
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
SHUROUK KATTAN RAHMANI MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
DR. SHAILAJA DEVI ABBISETTY MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
DR. OMAR AL DAOUD MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
PRATYUSHA VELDHI DO
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
AHMED HUSSAIN MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630
YAZEED KHALED ALMAET MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 200B
WARREN, MI 48093
Macomb County (586) 582-6630

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 Klein's NPI number?

The NPI number for Jacob Klein is 1093568529. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Jacob Klein located?

Jacob Klein practices at 11885 E 12 Mile Rd Ste 200B, Warren, MI 48093. The listed phone number is (586) 582-6630.

What is Jacob Klein'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 Klein enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Klein was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.