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

Dr. Jacob Mallad, DO

Individual provider Family Medicine Physician · NPI 1932890225

Dr. Jacob Mallad, DO is a Family Practice in Novi, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
3
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2023
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

28455 Haggerty Rd
Novi, MI 48377-2982
Phone: (248) 553-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101029462 (MI)

Record details

NPI number1932890225
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 17, 2023
Last updated in NPPESJune 6, 2026
Certification dateJune 6, 2026
Mailing address28455 Haggerty Rd Ste 100, Novi, MI 48377-2982

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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