Jacob Robert Ahles – Orthopaedic Surgery Physician

Key facts

NPI: 1104449552
Entity type: Individual (NPI type 1)
Primary specialty: Orthopaedic Surgery Physician 207X00000X
License: 5151014491 (MI)
Practice address: 1221 South Dr
Mount Pleasant, MI 48858-3257
Phone: (800) 671-1453
NPI assigned: May 20, 2020
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

McLaren Central Michigan General Acute Care Hospital · Mt Pleasant, MI · NPI 1245266063

Medicare reassignment MI

Hospital & facility affiliations 1

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

Umass Memorial Medical Center, Inc. General Acute Care Hospital · Worcester, MA · NPI 1831151455

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Orthopedic Surgery
Education: Other, 2020
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

1 McLarek Pkwy
Grand Blanc, MI 48439-7414

1221 S Dr
Mount Pleasant, MI 48858-3257

Hospital & facility affiliations

Umass Memorial Medical Center/University Campus Hospital · Worcester, MA · CCN 220163

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20260617000503	MI	Practitioner - Orthopedic Surgery	0648692335	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy

Interoperability endpoints

Direct secure messaging: jahles891250@direct.hfhs.org
Direct secure messaging: jahles1856226@direct.trinity-health.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthopaedic Surgery Physician	207X00000X	5151014491	MI	Yes

Addresses

Primary practice location

1221 South Dr
Mount Pleasant, MI 48858-3257

Mailing address

1221 South Dr
Mount Pleasant, MI 48858-3257

Other providers in Mount Pleasant, MI

All providers in Mount Pleasant, MI · Orthopaedic Surgery Physician in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.