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

Q: 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.

Q: What is Chris Jacob's specialty?

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

Q: 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 9 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.

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: August 16, 2026.

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

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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 is a graduate of Michigan State University College Of Osteopathic Medicine (2015).

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

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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, McLaren Health Plan Community and more.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

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.

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)