Active NPI
Jacob Joseph Rowan, D.O.
- Physical Medicine & Rehabilitation Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 5101014827
- Practice address
- 4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-6804 - Phone
- (517) 432-6144
- Fax
- (517) 432-6150
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 5101014827 | MI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 5101014827 | MI | Primary |
Addresses
Primary practice location
4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-6804
Mailing address
804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 432-6144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4624101 | Medicaid | MI | |
| 1922043389 | Medicaid | MI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4660 S Hagadorn Rd
Suite 500
East Lansing, MI 48823-6804
Phone (517) 432-6144
Hospital & facility affiliations
- McLaren Greater Lansing
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101014827 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Msu Health Care Inc. | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Vpa PC | Past | Accepting new patients | |
| Vpa PC | Past | Accepting new patients |
Locations
804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100
1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560
Interoperability endpoints
- jacob.rowan.1@25394.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1861443269
-
- Local Education Agency (LEA)
- East Lansing, MI
- NPI 1184182982
-
- Student Health Clinic/Center
- East Lansing, MI
- NPI 1770646028
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
-
- Family Medicine Physician
- Troy, MI
- NPI 1336153295
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1063517340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A109B",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-432-6144",
"fax_number": "517-432-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 S HAGADORN RD STE 500",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236804",
"telephone_number": "517-432-6144",
"fax_number": "517-432-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWAN",
"first_name": "JACOB",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MI",
"license": "5101014827",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "5101014827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4624101",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922043389",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.