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

Dr. Edmund Doromal Jacob, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932423696

Dr. Edmund Doromal Jacob, MD is an Internal Medicine in Detroit, Michigan. Qualified in 2008, 18 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Detroit, MI

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301099385 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932423696
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2010
Last updated in NPPESMay 29, 2014

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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