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DR. JACOB MALLAD DO
NPI 1932890225
Family Medicine in Novi, MI

Active since May 17, 2023PECOS Enrolled
28455 HAGGERTY RD, NOVI, MI 48377(248) 553-2200 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 6, 2026, May 17, 2023 (2 updates tracked since 2023).

About Dr. Jacob Mallad Do NPPES

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

DR. JACOB MALLAD DO (NPI 1932890225) is an individual family medicine provider in Novi, Michigan, licensed in Michigan (5101029462) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1932890225
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACOB MALLADCredential: DO
Location Address28455 HAGGERTY RDNovi, MI 48377-2982
Mailing Address28455 Haggerty Rd Ste 100Novi, MI 48377-2982
Phone(248) 553-2200
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2023
Enumeration DateMay 17, 2023
Last NPPES UpdateJune 6, 20262 updates tracked since enumeration
NPPES CertifiedJune 6, 2026
✔ NPI 1932890225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101029462
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
28455 HAGGERTY RD, Novi, MI 48377
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Mallad Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315303831
PECOS Enrollment IDI20260618001607
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48377 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
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 20

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

WOLVERINE ORTHOTICS, INC.
Orthotist
28455 HAGGERTY RD, 101
NOVI, MI 48377
Oakland County (248) 324-3010
MICHAEL J ELLENBERG MD
Physical Medicine & Rehabilitation
28455 HAGGERTY RD, 200
NOVI, MI 48377
Oakland County (248) 893-3200
MARIE VALE BOOMER PA-C
Physician Assistant (Medical)
28455 HAGGERTY RD, STE 200
NOVI, MI 48377
Oakland County (248) 893-3200
MR. MAURY RUBEN ELLENBERG MD
Physical Medicine & Rehabilitation
28455 HAGGERTY RD, SUITE 200
NOVI, MI 48377
Oakland County (248) 893-3200
DANIELLE M BESSESEN NP
Nurse Practitioner (Primary Care)
28455 HAGGERTY RD, STE 200
NOVI, MI 48377
Oakland County (248) 893-3200
LALITHA RAMAMOORTHY MS, RD
Dietitian, Registered
28455 HAGGERTY RD
NOVI, MI 48377
Oakland County (248) 553-0050
DR. JEANETTE GLUSZEWSKI -SAUER MD
Physical Medicine & Rehabilitation
28455 HAGGERTY RD, STE 200
NOVI, MI 48377
Oakland County (248) 893-3200
ELIZABETH M HALL MD
Physical Medicine & Rehabilitation
28455 HAGGERTY RD, SUITE 200
NOVI, MI 48377
Oakland County (248) 893-3200

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 Jacob Mallad's NPI number?

The NPI number for Jacob Mallad is 1932890225. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Jacob Mallad located?

Jacob Mallad practices at 28455 Haggerty Rd, Novi, MI 48377. The listed phone number is (248) 553-2200.

What is Jacob Mallad's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Mallad enrolled in Medicare?

Yes. Jacob Mallad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Mallad was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.