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

Dr. Mark Edward Jacoby, MD

Individual provider Specialist · NPI 1871544551

Dr. Mark Edward Jacoby, MD is an Interventional Cardiology in Grand Rapids, Michigan. Graduated from University of Michigan Medical School in 1999, 27 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and New Hampshire.

Years since qualifying
27
Trained at
University of Michigan Medical School
Licensed in
MI, NH
In the registry since
2006
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

2900 Bradford St NE
Grand Rapids, MI 49525-6427
Phone: (616) 885-5000
Fax: (616) 486-6702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 4301080162 (MI)
Specialist Taxonomy 174400000X · Licence 13067 (NH)

Record details

NPI number1871544551
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1999 (27 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations23 on file with Medicare

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