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

Jacob Alexander Martin Novack, DO

Individual provider Urology Physician · NPI 1669096111

Jacob Alexander Martin Novack, DO is an Urology in Port Huron, Michigan. Qualified in 2020, 6 years ago. Practices with McLaren Medical Group, a 247-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
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

1037 Water St Ste 1
Port Huron, MI 48060-4408
Phone: (248) 967-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 5101028607 (MI)

Record details

NPI number1669096111
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 1, 2020
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice McLaren Medical Group — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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