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DAVID R. JACOBI M.D.
NPI 1821166364
Internal Medicine in Dearborn, MI

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE, DEARBORN, MI 48126(313) 982-8261(313) 982-8205 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David R. Jacobi M.d. NPPES

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

DAVID R. JACOBI M.D. (NPI 1821166364) is an individual internal medicine provider in Dearborn, Michigan, licensed in Michigan (4301055002) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1989).

NPPES Registry Identity

NPI1821166364
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID R. JACOBICredential: M.D.
Location AddressHENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVEDearborn, MI 48126
Mailing AddressHenry Ford Health System, 19401 Hubbard DriveDearborn, MI 48126 · (313) 982-8261
Phone(313) 982-8261
Fax(313) 982-8205
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1989
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821166364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301055002
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
HENRY FORD HEALTH SYSTEM, Dearborn, MI 48126
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Other Identifiers 3

Medicare UPINF62011
OtherDJ055002Commercial-commercial Number
OtherDJ055002Champus-champus

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

David R. Jacobi M.d. 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 ID9335279264
PECOS Enrollment IDI20100618000726
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230146
Location2333 Biddle AveWyandotte, MI 48192 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48126 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims68 services$6.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims29 services$1.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$63.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. DOSS NICOLAS DOSS M.D.
Pediatrics
HENRY FORD HEALTH SYSTEM, 5500 AUTO CLUB DR
DEARBORN, MI 48126
Wayne County (313) 425-4700
KATHLEEN B. BLUMER M.D.
Pediatrics
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8330
GERALDINE JACKSON M.D.
Obstetrics & Gynecology
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8330
DR. PRADEEP SRINIVAS BHANDARKAR M.D.
Surgery
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE, SUITE#202
DEARBORN, MI 48126
Wayne County (313) 982-8419
DR. LEILA RAJA HAJJAR-NOLAN M.D.
Obstetrics & Gynecology
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8330
AMJAD M. FARHA M.D.
Internal Medicine (Cardiovascular Disease)
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8261
RANDALL R. WALTER M.D.
Radiology (Diagnostic Radiology)
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8370
PETE K. JANEVSKI M.D.
Plastic Surgery
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE
DEARBORN, MI 48126
Wayne County (313) 982-8330

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 David Jacobi's NPI number?

The NPI number for David Jacobi is 1821166364. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is David Jacobi located?

David Jacobi practices at Henry Ford Health System 19401 Hubbard Drive, Dearborn, MI 48126. The listed phone number is (313) 982-8261.

What is David Jacobi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Jacobi enrolled in Medicare?

Yes. David Jacobi 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 David Jacobi accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list David Jacobi 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 David Jacobi affiliated with any hospitals?

According to CMS data, David Jacobi is affiliated with Henry Ford Health Hospital, Henry Ford Health Wyandotte Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for David Jacobi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.