Jacob Andrew Mack, MD
Individual provider Active NPI Internal Medicine Physician · Ann Arbor, MI
NPI 1992234462 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1992234462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301502187 (MI)
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Jun 8, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Michigan Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the University of Michigan
Practice addresses (Care Compare)
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Hospital & facility affiliations
- University of Michigan Health System
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 |
|---|---|---|---|---|
| I20200626000204 | MI | Practitioner - Internal Medicine |
1557630746 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301502187 | MI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Internal Medicine | Current | Accepting new patients |
| Chelsea Community Hospital | Current |
Accepting new patients | |
| Regents of the University of Michigan | Internal Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Current |
Accepting new patients | |
| Regents of the University of Michigan | Internal Medicine | Current |
Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Regents of the University of Michigan | Current |
Accepting new patients | |
| Iha Health Service Corporation | Current |
Accepting new patients | |
| Regents of the University of Michigan | Current |
Accepting new patients | |
| Chelsea Community Hospital | Current |
Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
#3116
Ann Arbor, MI 48109
Phone (734) 844-5400
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5301 E Huron River Dr
Fl 10
Ypsilanti, MI 48197
Phone (734) 712-8676
Interoperability endpoints
- jmack432040@direct.hfhs.org
- jmack407646@direct.med.umich.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 4301502187 | MI | |
| Internal Medicine Physician | 207R00000X | 4301502187 | MI | Yes |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other providers in Ann Arbor, MI
- Ashley Macias
- Jordan Macias
- Matthew Macias
- John Joseph Maciejewski
- Laurie Ann Mack-Cockerill
- Jaquel Mack
- Jesse Mack
- Kelly Mack
- Megan Rose Mack
- Heather Mary Mackenzie
All providers in Ann Arbor, MI · Internal Medicine 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 Aug 7, 2025. 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.