DR. EDMUND DOROMAL JACOB M.D.
NPI 1932423696
Internal Medicine in Detroit, MI

Active since March 23, 2010PECOS EnrolledAccepts Medicare Assignment
2799 W GRAND BLVD # 417, DIVISION OF HOSPITAL MEDICINE, DETROIT, MI 48202(313) 916-8144 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edmund Doromal Jacob M.d. NPPES

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

DR. EDMUND DOROMAL JACOB M.D. (NPI 1932423696) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (4301099385) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1932423696
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDMUND DOROMAL JACOBCredential: M.D.
Location Address2799 W GRAND BLVD # 417, DIVISION OF HOSPITAL MEDICINEDetroit, MI 48202-2608
Mailing Address2799 W Grand Blvd # 417, Division Of Hospital MedicineDetroit, MI 48202-2608 · (313) 916-8144
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 23, 2010
Last NPPES UpdateMay 29, 2014
NPI 1932423696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301099385
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.

2799 W GRAND BLVD # 417, Detroit, MI 48202

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

Dr. Edmund Doromal Jacob 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 ID6406099985
PECOS Enrollment IDI20130903000103
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services43 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

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.

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.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
2799 W GRAND BLVD # 417, MC 426
DETROIT, MI 48202
Internal Medicine
2799 W GRAND BLVD # 417
DETROIT, MI 48202

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 Edmund Jacob's NPI number?

The NPI number for Edmund Jacob is 1932423696. It was assigned to this individual provider in the NPPES registry on March 23, 2010.

Where is Edmund Jacob located?

Edmund Jacob practices at 2799 W Grand Blvd # 417 Division Of Hospital Medicine, Detroit, MI 48202. The listed phone number is (313) 916-8144.

What is Edmund Jacob's specialty?

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

Is Edmund Jacob enrolled in Medicare?

Yes. Edmund 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.

What insurance does Edmund Jacob accept?

Health plans from Priority Health list Edmund 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 Edmund Jacob affiliated with any hospitals?

According to CMS data, Edmund Jacob is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Edmund Jacob was last updated on May 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.