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CHRIS JACOB DO
NPI 1790163962
Internal Medicine - Cardiovascular Disease in Grand Rapids, MI

Active since May 08, 2015PECOS EnrolledAccepts Medicare Assignment
1000 E PARIS AVE SE STE 200, GRAND RAPIDS, MI 49546(616) 685-3450(646) 685-3454 Get Directions Write a Review

NPPES record last updated: October 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2025, Jun 29, 2021, Jun 25, 2018 (3 updates tracked since 2018).

About Chris Jacob Do NPPES

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

CHRIS JACOB DO (NPI 1790163962) is an individual cardiovascular disease provider in Grand Rapids, Michigan, licensed in Michigan (5101028038) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790163962
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameCHRIS JACOBCredential: DO
Location Address1000 E PARIS AVE SE STE 200Grand Rapids, MI 49546-8383
Mailing Address1000 E Paris Ave Se Ste 200Grand Rapids, MI 49546-8383 · (616) 685-3450 · Fax (616) 685-3454
Phone(616) 685-3450
Fax(646) 685-3454
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2015
Enumeration DateMay 8, 2015
Last NPPES UpdateOctober 25, 20253 updates tracked since enumeration
NPPES CertifiedOctober 25, 2025
✔ NPI 1790163962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 5101028038
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101021621 (MI)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 5101028038 (MI)
Also ListedHospitalistTaxonomy 208M00000X · License 293779 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5101021621 (MI), 5151009894 (MI)
1000 E PARIS AVE SE STE 200, Grand Rapids, MI 49546
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11000 Oakland DrKalamazoo, MI 49008-1282 · Phone (269) 337-6115
Location 224211 Little Mack AveSaint Clair Shores, MI 48080-1151 · Phone (586) 498-0440 · Fax (586) 498-0401
Location 3601 Elmwood Ave.Rochester, NY 14642-0001 · Phone (585) 275-4912 · Fax (585) 276-2144

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, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chris Jacob Do 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 ID749595908
PECOS Enrollment IDI20241203000776
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Chris Jacob reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metropolitan Hospital
0.3 mi
Urgent Care
4055 CASCADE RD SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
NPI 1720590961 (616) 252-4010
Advantage Health Saint Mary's Medical Group
4.8 mi
Multi-Specialty
200 JEFFERSON SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
NPI 1952340911 (616) 685-5000
Mclaren Central Michigan
61 mi
General Acute Care Hospital
1221 SOUTH DR
Mt Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 321 clinicians in this Medicare group
NPI 1245266063 (989) 772-6700
Mclaren Medical Group
89 mi
Obstetrics & Gynecology
2521 N ELMS RD
Flushing, MI 48433
  • Reassigned Medicare billing, Michigan enrollment
  • 416 clinicians in this Medicare group
NPI 1053458091 (810) 487-3640
Mclaren Northern Michigan
170 mi
Family Medicine
416 CONNABLE AVE
Petoskey, MI 49770
  • Reassigned Medicare billing, Michigan enrollment
  • 149 clinicians in this Medicare group
NPI 1760736094 (231) 487-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

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

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 9

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

DR. PETER BRADLEY WENN MD
Internal Medicine (Interventional Cardiology)
1000 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 685-3450
VINAYAK A MANOHAR MD
Internal Medicine (Interventional Cardiology)
1000 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 685-3450
ABDEL RAHMAN ABUOBIEDA OMER M.D.
Internal Medicine (Cardiovascular Disease)
1000 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 685-3450
JUSTIN DALE REIMINK P.A.
Physician Assistant (Medical)
1000 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 685-3450
MRS. KATIE LOUISE CRELLIN
Nurse Practitioner (Acute Care)
1000 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 685-3450
JOSEPH PAUL URBANSKI AGBNP-C, DNP
Nurse Practitioner
1000 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 685-3450
DR. GEORGE JOHN GHUNEIM D.O.
Internal Medicine (Cardiovascular Disease)
1000 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 685-3450
ABIY TEMESGEN NIGATU M.D.
Internal Medicine (Interventional Cardiology)
1000 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 685-3450

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 Chris Jacob's NPI number?

The NPI number for Chris Jacob is 1790163962. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Chris Jacob located?

Chris Jacob practices at 1000 E Paris Ave SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 685-3450.

What is Chris Jacob's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Chris Jacob enrolled in Medicare?

Yes. Chris Jacob 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.

Which organizations bill Medicare for Chris Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chris Jacob reassigns Medicare benefits to 5 organizations: Metropolitan Hospital (Grand Rapids, MI), Advantage Health Saint Mary's Medical Group (Grand Rapids, MI), Mclaren Central Michigan (Mt Pleasant, MI), Mclaren Medical Group (Flushing, MI) and Mclaren Northern Michigan (Petoskey, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chris Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chris Jacob accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Chris Jacob 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.

Is Chris Jacob affiliated with any hospitals?

According to CMS data, Chris Jacob is affiliated with Mercy Health Saint Mary's and Mclaren Northern Michigan.

When was this NPI record last updated?

The NPPES record for Chris Jacob was last updated on October 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.