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

Jeffrey T Jacob, MD

Individual provider Neurological Surgery Physician · NPI 1073715686

Jeffrey T Jacob, MD is a Neurosurgery in Royal Oak, Michigan. Graduated from Mayo Medical School in 2007, 19 years ago. Practices with University Neurosurgical Associates PC, a 35-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
19
Trained at
Mayo Medical School
Licensed in
MN
In the registry since
2007
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

3555 W 13 Mile Rd Ste N220
Royal Oak, MI 48073-6710
Phone: (248) 784-3667
Fax: (248) 869-3982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 4301108040 (MN)

Record details

NPI number1073715686
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2007
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024
Mailing address29275 Northwestern Hwy Ste 100, Southfield, MI 48034-5700

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2007 (19 years in practice)
Group practice University Neurosurgical Associates Pc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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