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

Maryconi M Jacob, MD

Individual provider Internal Medicine Physician · NPI 1548558588

Maryconi M Jacob, MD is an Internal Medicine in Troy, Michigan. Qualified in 2008, 18 years ago. Practices with Gastrointestinal Specialists PC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2011
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

264 W Maple Rd Ste 200
Troy, MI 48084
Phone: (248) 273-9930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6712 — (248) 551-3000

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 4301098130 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301098130 (MI)

Record details

NPI number1548558588
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2011
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Gastrointestinal Specialists Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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