Mark Edward Jacobson, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

4301105117 Issued in MI

Practice address

30575 Woodward Ave Ste 100
Royal Oak, MI 48073-0986

Phone

(248) 280-8550

Fax

(844) 266-0093

NPI assigned

Sep 23, 2008

Last updated

Apr 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Wayne State University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians

Michigan Orthopaedic Surgeons PLLCGroup PAC ID 7810277811, 127 clinicians

Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Home Health Home health agency, Troy, MI, CCN 237112
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
• Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
• Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
• Rehabilitation Institute of Michigan Inpatient rehabilitation facility, Detroit, MI, CCN 233027

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.jacobson.1@9974.direct.athenahealth.com
• Direct secure messaging: mjacobson1239494@epic00.shdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  Medicare reassignment Care Compare group NPD
• Michigan Orthopaedic Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Southfield, MI
  • NPI 1306394309
  Medicare reassignment Care Compare group NPD
• Shoreline Orthopaedic & Sports Medicine Clinic,PLC

  • Orthopaedic Surgery Physician
  • Holland, MI
  • NPI 1275579765
  Medicare reassignment NPD
• Premier Therapy Centers, Inc

  • Physical Therapy Clinic/Center
  • West Bloomfield, MI
  • NPI 1962512202
  Care Compare group
• Shoreline Orthopaedic & Sports Medicine Clinic P L C

  • Durable Medical Equipment & Medical Supplies
  • Zeeland, MI
  • NPI 1881370799

  Orthopaedic Surgery

  NPD
• Michigan Orthopaedic Surgeons PLLC

  • Durable Medical Equipment & Medical Supplies
  • Shelby Township, MI
  • NPI 1730838467

  Orthopaedic Surgery

  NPD (past)
• Michigan Orthopaedic Surgeons PLLC

  dba Michigan Orthopaedic Surgeons

  • Durable Medical Equipment & Medical Supplies
  • Troy, MI
  • NPI 1811562184

  Orthopaedic Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beaumont Ashn, LLC

  dba Beaumont Home Health and Hospice, LLC

  • Home Health Agency
  • Troy, MI
  • NPI 1811461734
  Care Compare affiliation
• Botsford General Hospital

  • Podiatrist
  • Farmington Hills, MI
  • NPI 1093828303

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1114935566

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  dba Beaumont Hospital-Farmington Hills

  • General Acute Care Hospital
  • Farmington Hills, MI
  • NPI 1336183367
  Care Compare affiliation
• Botsford General Hospital

  dba Internal Medicine Associates Farmington Hills

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1538103395

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1871521153

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1871907303

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  dba Botsford Thoracic Surgery Clinic

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1912335373

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Pulmonary Disease Physician
  • Farmington Hills, MI
  • NPI 1912915349

  Hospital

  Care Compare affiliation
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation
• VHS Rehabilitation Institute of Michigan Inc

  dba Rehabilitation Institute of Michigan

  • Rehabilitation Hospital
  • Detroit, MI
  • NPI 1871805150

  Inpatient rehabilitation facility

  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1053561449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764158",
            "telephone_number": "833-667-3627",
            "fax_number": "833-972-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30575 WOODWARD AVE STE 100",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730986",
            "telephone_number": "248-280-8550",
            "fax_number": "844-266-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17877 W 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480253127",
            "country_code": "US",
            "telephone_number": "248-644-3920",
            "fax_number": "844-598-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24255 W 13 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254345",
            "country_code": "US",
            "telephone_number": "248-988-8085",
            "fax_number": "844-598-9635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4967 Crooks Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480985812",
            "country_code": "US",
            "telephone_number": "248-846-8060",
            "fax_number": "833-303-1612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4550 Investment Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480986334",
            "country_code": "US",
            "telephone_number": "248-265-4600",
            "fax_number": "248-265-4605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 W 13 Mile Rd Ste 742",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736770",
            "country_code": "US",
            "telephone_number": "248-551-9100",
            "fax_number": "248-551-9131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Kirts Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844852",
            "country_code": "US",
            "telephone_number": "248-244-9426",
            "fax_number": "844-607-0511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26025 Lahser Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332606",
            "country_code": "US",
            "telephone_number": "248-663-1900",
            "fax_number": "844-598-9633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45816 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483156028",
            "country_code": "US",
            "telephone_number": "586-842-2400",
            "fax_number": "833-561-1976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26750 Providence Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741212",
            "country_code": "US",
            "telephone_number": "248-596-0412",
            "fax_number": "833-471-5849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33200 W 14 Mile Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223586",
            "country_code": "US",
            "telephone_number": "248-855-7400",
            "fax_number": "844-598-9634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "57.014767",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "4301105117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.jacobson.1@9974.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30575 Woodward Ave Ste 100",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480730986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jodie Michelle Jacobs, LMSW
• Lynn Marie Jacobs, MS LLP
• Matthew Ryan Jacobs, DO
• Sydney Jordyn Jacobs, DO
• Daniel Steven Jacobson, P.T.
• Syed Jafri, MD
• Deepa Bai Jagtap, M.D.
• Marla Nicole Jahnke, MD
• Amanda Jahshan, PT
• Christy Ann Jain, BOT, MSOT, OTR/L

• Orthopaedic Surgery of the Spine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Orthopaedic Surgery of the Spine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.