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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356791768

Jacob Edens, MD is a Pathology in Royal Oak, Michigan. Qualified in 2016, 10 years ago. Practices with Chipps, Caffrey and Dubilier, PSC, a 19-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
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

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (509) 385-6925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4301501530 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301110310 (MI)

Record details

NPI number1356791768
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 16, 2016
Last updated in NPPESMay 29, 2020
Certification dateMay 29, 2020
Mailing address22101 Moross Rd, Detroit, MI 48236-2148

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Chipps, Caffrey And Dubilier, P.S.C — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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