Individual provider Active NPI

Jacob Carl Hague, DO

  • Emergency Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1235875642
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101028922 Issued in MI
Practice address
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone
(248) 325-1000
NPI assigned
May 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X V9616 TX
Emergency Medicine Physician 207P00000X 5101028922 MI Primary

Addresses

Primary practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Mailing address

7934 N Shore CT
Grawn, MI 49637-9581
Phone (248) 534-2819

Other practice location 1

40777 Ann Arbor Rd E
Plymouth, MI 48170-4448
Phone (734) 738-2020

Other practice location 2

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-1545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250919002169 TX Practitioner - Emergency Medicine 4082091558 Reassigns benefits to 2 organizations
I20260130002074 MI Practitioner - Emergency Medicine 4082091558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

27650 Dequindre Rd
Suite 1200
Warren, MI 48092-2818
Phone (248) 851-3300

40777 Ann Arbor Rd E
Henry Ford Health Ortho Hand Spec
Plymouth, MI 48170-4448
Phone (734) 928-1600

Hospital & facility affiliations

  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Westover Hills Baptist Hospital Hospital, San Antonio, TX, CCN 670333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101028922MIMDEmergency Medicine Physician
V9616TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Aug 30, 2025 Accepting new patients
Michigan Healthcare Professionals, P.C. Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Henry Ford Health System CurrentSince Feb 1, 2026 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Feb 1, 2026 Accepting new patients
Henry Ford Health System Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Jul 21, 2025 Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

40777 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 738-2073

27650 Dequindre Rd
Ste 1200
Warren, MI 48092
Phone (248) 851-3300

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

Interoperability endpoints

  • Direct secure messaging: jhague1051298@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1235875642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7934 N SHORE CT",
            "city": "GRAWN",
            "state": "MI",
            "postal_code": "496379581",
            "telephone_number": "248-534-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-325-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40777 Ann Arbor Rd E",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481704448",
            "country_code": "US",
            "telephone_number": "734-738-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-1545",
            "fax_number": "313-916-7437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGUE",
        "first_name": "JACOB",
        "middle_name": "CARL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V9616",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101028922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.