Mark Kevin Jacob, M.D.
NPI 1063688497ActiveIndividual· Internal Medicine, Pulmonary Disease· Rockford, IL
Internal Medicine, Pulmonary Disease (M.D.) in Rockford, Illinois, trained at Wayne State University School of Medicine (class of 2005). Medicare paid $10,859 for services to 41 patients in 2024.
Overview
| NPI | 1063688497 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 6, 2008 |
| Last updated in NPPES | Dec 27, 2024 |
| Certified by provider | Dec 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 2011-01117 | NC |
| Internal Medicine | 207R00000X | 4301086585 | MI |
| Internal Medicine, Critical Care Medicine | 207RC0200X | 036.161882 | IL |
| Internal Medicine, Critical Care Medicine | 207RC0200X | 04-331614 | KS |
| Internal Medicine, Pulmonary Disease | 207RP1001X | 04-331614 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Critical Care (Intensivists) (IL); Practitioner - Critical Care (Intensivists) (MI); Practitioner - Internal Medicine (NC); Practitioner - Internal Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 78 across 11 procedure codes |
| Paid by Medicare | $10,859 |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Critical Care (Intensivists) |
Medical groups
- Advantage Health/Saint Mary's Medical GroupCaledonia, MI · 505 clinicians
- Dlp Western Carolina Physician Practices LLCClyde, NC · 178 clinicians
Hospital affiliations
- Harris Regional HospitalSylva, NC
- Mercy Health Saint Mary'sGrand Rapids, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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