JACK S ELDER MD
NPI 1457385072
Urology in Detroit, MI
About Jack S Elder Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK S ELDER MD (NPI 1457385072) is an individual urology provider in Detroit, Michigan, licensed in Ohio (35-053721) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1976).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 12
Accepted 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
Jack S Elder Md 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jack Elder's NPI number?
The NPI number for Jack Elder is 1457385072. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Jack Elder located?
Jack Elder practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.
What is Jack Elder's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Jack Elder enrolled in Medicare?
Yes. Jack Elder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jack Elder accept?
Health plans from Anthem Blue Cross and Blue Shield list Jack Elder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jack Elder was last updated on January 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jack S Elder, MD · NPI 1457385072
Urology physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1457385072 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 35-053721 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (313) 916-2600 · **Fax:** (313) 916-9539
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Oklahoma College Of Medicine, class of 1976
## Record status
- **NPPES last updated:** January 9, 2013
- **Other identifiers:** Other 1900370 (OH); Other P00388789 (OH); Medicaid 5196618 (MI); and 9 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1457385072) · Data from the CMS NPPES public registry.