CHRIS JACOB DO – NPI #1790163962
Internal Medicine

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.

CHRIS JACOB is a physician located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1790163962 to CHRIS JACOB on May 08, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Oct 25, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHRIS JACOB below.

NPI Profile for
CHRIS JACOB

NPI Number
1790163962
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHRIS JACOB
Credentials
DO
Primary location
1000 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 49546-8383
Phone: (616) 685-3450 Fax: (646) 685-3454
3 Other location(s):
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone: (269) 337-6115
24211 Little Mack Ave
Saint Clair Shores, MI 48080-1151
Phone: (586) 498-0440
Fax: (586) 498-0401
601 Elmwood Ave.
Rochester, NY 14642-0001
Phone: (585) 275-4912
Fax: (585) 276-2144
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Oct 25, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
MI 5101028038
390200000X
- Student in an Organized Health Care Education/Training Program
MI 5101021621
208M00000X
- Hospitalist
NY 293779
207RI0011X
- Internal Medicine / Interventional Cardiology
MI 5101028038
207R00000X
- Internal Medicine
MI 5101021621

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 2015
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.