JACOB LYMAN LEONARD BILHARTZ (MD) – Pediatric Transplant Hepatology Physician, NPI 1467612192

JACOB LYMAN LEONARD BILHARTZ (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in PEDIATRIC MEDICINE, GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 4301091940 (MI). The NPI Number for JACOB LYMAN LEONARD BILHARTZ (MD) is 1467612192

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
JACOB LYMAN LEONARD BILHARTZ (MD)
NPI
1467612192
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
16 June 2008
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
7346478901
Graduation Year
2008 (18 years ago)
PAC ID
4880909332
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20150813009833
Address ID
MI481090999AN1500XBXXX701
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,222 PEDIATRIC MEDICINE in MI

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Provider Addresses for JACOB LYMAN LEONARD BILHARTZ (MD)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    8TH FLOOR CS MOTT CHILDRENS HOSPITAL

    ANN ARBOR, MI 481094259

    Phone: (734) 936-4185

    Type: Location

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150813009833IPediatric MedicineMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
-MI
-MI
Clinical Social WorkerMI
Interventional RadiologyMI

Reviews

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Frequently asked questions

How is JACOB LYMAN LEONARD BILHARTZ (MD) identified in CMS data?
CMS-hosted NPPES data lists JACOB LYMAN LEONARD BILHARTZ (MD) with NPI 1467612192.
Does CMS list JACOB LYMAN LEONARD BILHARTZ (MD) as active?
Yes — JACOB LYMAN LEONARD BILHARTZ (MD) is active in the NPI listing used on this page.
What is JACOB LYMAN LEONARD BILHARTZ (MD)'s specialty?
The listing groups JACOB LYMAN LEONARD BILHARTZ (MD) with Pediatric Transplant Hepatology Physician. Clinical services aligned with this taxonomy classification.
Where is JACOB LYMAN LEONARD BILHARTZ (MD) based?
JACOB LYMAN LEONARD BILHARTZ (MD) is tied to Ann Arbor, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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