DR. EDMUND DOROMAL JACOB M.D.
NPI 1932423696
Internal Medicine in Detroit, MI
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
Specialties & Licenses 2
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Edmund Jacob reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 1,886 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 946 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MIPhysician 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.
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.
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.
Which organizations bill Medicare for Edmund Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edmund Jacob reassigns Medicare benefits to 2 organizations: Henry Ford Health System (Detroit, MI) and Beaumont Medical Group Hospital -Based Services (Royal Oak, 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 Edmund Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Edmund Doromal Jacob, M.D. · NPI 1932423696
Internal Medicine physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since March 23, 2010.
## Identity
- **NPI:** 1932423696 (Entity type: Individual)
- **Enumerated:** March 23, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 4301099385 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD # 417, DIVISION OF HOSPITAL MEDICINE, Detroit, MI 48202-2608
- **Phone:** (313) 916-8144
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health System (NPI 1528142858, Detroit, MI); Beaumont Medical Group Hospital -Based Services (NPI 1427567858, Royal Oak, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** May 29, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1932423696) · Data from the CMS NPPES public registry.