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

Dr. Angela Renee Jacob, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1124430806

Dr. Angela Renee Jacob, DPM is a Podiatry in West Bloomfield, Michigan. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6900 Orchard Lake Rd Ste 207
West Bloomfield, MI 48322-3425
Phone: (248) 963-0919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 5901002584 (MI)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 5315080074 (MI)

Record details

NPI number1124430806
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 29, 2014
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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