THOMAS JACOB MD
NPI 1154262996
Student in an Organized Health Care Education/Training Program in Commerce Township, MI

Active since April 04, 2026PECOS Enrolled
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382(248) 937-3300 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas Jacob Md NPPES

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

THOMAS JACOB MD (NPI 1154262996) is an individual student in an organized health care education/training program in Commerce Township, Michigan and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154262996
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHOMAS JACOBCredential: MD
Location Address1 WILLIAM CARLS DRCommerce Township, MI 48382-2201
Mailing Address42101 Malbeck DrSterling Heights, MI 48314-3047
Sole ProprietorYes
Enumeration DateApril 4, 2026
NPPES CertifiedApril 4, 2026
NPI 1154262996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1 WILLIAM CARLS DR, Commerce Township, MI 48382

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thomas 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.

Student in an Organized Health Care Education/Training Program
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI 48382
Nurse Practitioner (Occupational Health)
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI 48382
Nurse Anesthetist, Certified Registered
1 WILLIAM CARLS DR
COMMERCE TWP, MI 48382
Student in an Organized Health Care Education/Training Program
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI 48382
Nurse Anesthetist, Certified Registered
1 WILLIAM CARLS DR
COMMERCE TWP, MI 48382
Surgery (Plastic and Reconstructive Surgery)
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI 48382
Nurse Anesthetist, Certified Registered
1 WILLIAM CARLS DR
COMMERCE TWP, MI 48382
Durable Medical Equipment & Medical Supplies
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI 48382

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 Thomas Jacob's NPI number?

The NPI number for Thomas Jacob is 1154262996. It was assigned to this individual provider in the NPPES registry on April 4, 2026.

Where is Thomas Jacob located?

Thomas Jacob practices at 1 William Carls Dr, Commerce Township, MI 48382. The listed phone number is (248) 937-3300.

What is Thomas Jacob's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Thomas Jacob enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Jacob was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.