Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chris Jacob, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790163962

Chris Jacob, DO is a Cardiovascular Disease (Cardiology) in Grand Rapids, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2015, 11 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
11
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI, NY
In the registry since
2015
Specialties on file
6
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1000 E Paris Ave SE Ste 200
Grand Rapids, MI 49546-8383
Phone: (616) 685-3450
Fax: (646) 685-3454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1000 Oakland Dr, Kalamazoo, MI 49008-1282 — (269) 337-6115
  • 1000 Oakland Dr, Kalamazoo, MI 49008-1282 — (269) 337-6115
  • 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 — (586) 498-0440
  • 601 Elmwood Ave., Rochester, NY 14642-0001 — (585) 275-4912

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 5101028038 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5101021621 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5101021621 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5151009894 (MI)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 5101028038 (MI)
Hospitalist Physician Taxonomy 208M00000X · Licence 293779 (NY)

Record details

NPI number1790163962
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 8, 2015
Last updated in NPPESOctober 25, 2025
Certification dateOctober 25, 2025
Mailing address1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546-8383

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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