Jacob Kameron Leroux

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101026609 Issued in MI

Practice address

1900 Columbus Ave
Bay City, MI 48708-6831

Phone

(989) 894-3297

Fax

(989) 891-8147

NPI assigned

Mar 10, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Family Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLaren Bay RegionGroup PAC ID 5597659011, 110 clinicians

McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Bay Region Hospital, Bay City, MI, CCN 230041
• McLaren Thumb Region Hospital, Bad Axe, MI, CCN 231340
• McLaren Thumb Region Nursing home, CCN 23Z340

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• McLaren Bay Region

  • Family Medicine Physician
  • Bay City, MI
  • NPI 1508131087
  Medicare reassignment Care Compare group NPD
• McLaren Hospital Group

  • Emergency Medicine Physician
  • Flint, MI
  • NPI 1942026174
  Medicare reassignment Care Compare group NPD
• McLaren Caro Region

  • Critical Access Hospital
  • Caro, MI
  • NPI 1073568978
  Medicare reassignment NPD
• Huron Pathology Services PC

  • Pulmonary Disease Physician
  • Bad Axe, MI
  • NPI 1265546899
  NPD
• McLaren Bay Region

  • Psychiatry Physician
  • Bay City, MI
  • NPI 1942560339
  NPD
• McLaren Caro Region

  • Rural Health Clinic/Center
  • Vassar, MI
  • NPI 1699396523
  NPD
• McLaren Thumb Region

  dba Huron Medical Center

  • General Acute Care Hospital
  • Bad Axe, MI
  • NPI 1245257880
  NPD
• McLaren Thumb Region

  dba Huron Medical Center

  • Critical Access Hospital
  • Bad Axe, MI
  • NPI 1518991744
  NPD
• McLaren Thumb Region

  • Rural Health Clinic/Center
  • Port Austin, MI
  • NPI 1558616086
  NPD
• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  NPD (past)

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

• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  Care Compare affiliation
• McLaren Thumb Region

  dba Huron Medical Center

  • Critical Access Hospital
  • Bad Axe, MI
  • NPI 1518991744
  Care Compare affiliation

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1740721745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 COLUMBUS AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086831",
            "telephone_number": "989-894-3297",
            "fax_number": "989-891-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COLUMBUS AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086831",
            "telephone_number": "989-894-3297",
            "fax_number": "989-891-8147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1458 W Center Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Essexville",
            "state": "MI",
            "postal_code": "487322151",
            "country_code": "US",
            "telephone_number": "989-895-4625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEROUX",
        "first_name": "JACOB",
        "middle_name": "KAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101026609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roland Martinus Leonora, PT
• Ella Rose Lepley
• Alana Marie Leppek
• Kyle Leppek
• Connie Leroux, MA CCC-SLP; BCBA
• Kennedie Leske
• Rachel Leslie
• Stephanie Leslie, FNP-BC
• Hannah Lesperance
• Adam B Lewis, PTA

• Family Medicine Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.