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JACOB TORU SORENSEN MD, PHD
NPI 1710663752
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since June 26, 2023PECOS Enrolled
2800 PLYMOUTH RD BLDG 35, ANN ARBOR, MI 48109(734) 764-3270 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Toru Sorensen Md, Phd NPPES

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

JACOB TORU SORENSEN MD, PHD (NPI 1710663752) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (5315240568) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710663752
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB TORU SORENSENCredential: MD, PHD
Location Address2800 PLYMOUTH RD BLDG 35Ann Arbor, MI 48109-2800
Mailing Address2800 Plymouth Rd Bldg 35Ann Arbor, MI 48109-2800
Phone(734) 764-3270
Sole ProprietorNo
Enumeration DateJune 26, 2023
NPPES CertifiedJune 24, 2023
✔ NPI 1710663752 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
License✔ Licensed in MI · 5315240568
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.
2800 PLYMOUTH RD BLDG 35, Ann Arbor, MI 48109
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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 Toru Sorensen Md, Phd 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENELLE HYUNJI LEE
Student in an Organized Health Care Education/Training Program
2800 PLYMOUTH RD BLDG 35
ANN ARBOR, MI 48109
Washtenaw County (734) 764-3270

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 Sorensen's NPI number?

The NPI number for Jacob Sorensen is 1710663752. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Jacob Sorensen located?

Jacob Sorensen practices at 2800 Plymouth Rd Bldg 35, Ann Arbor, MI 48109. The listed phone number is (734) 764-3270.

What is Jacob Sorensen'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 Sorensen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Sorensen was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.