JOHN JACOB (MD) – Child & Adolescent Psychiatry Physician, NPI 1346690948

JOHN JACOB (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in Child & Adolescent Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 4301110446 (MI). The NPI Number for JOHN JACOB (MD) is 1346690948

Main info

Male
Name
JOHN JACOB (MD)
NPI
1346690948
Phone
(269) 337-6019
Address
1000 OAKLAND DR
Enumeration Date
15 June 2016
Last Update Date
11 August 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN JACOB (MD)

  • 1000, Oakland Drive, Kalamazoo, Kalamazoo County, Michigan, 49008, United States

    KALAMAZOO, MI 490081282

    Phone: (269) 337-6019

    Mailing address matches the actual address.

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: 2019-01-25

PECOS data refreshed: 2026-05-27

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
I20190125001668IPsychiatryMITBD

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

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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 49008)

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Reviews

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Frequently asked questions

Where can patients find JOHN JACOB (MD)'s NPI?
You can confirm JOHN JACOB (MD) with NPI 1346690948; it appears in the national provider directory.
Is JOHN JACOB (MD) active in the national directory?
JOHN JACOB (MD)'s public NPI profile is in an active state.
What does JOHN JACOB (MD) treat or focus on?
Patients typically see JOHN JACOB (MD) under the specialty Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JOHN JACOB (MD)?
The snapshot lists Kalamazoo, Michigan for JOHN JACOB (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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