Jack S. Elder, MD
Urology Physician · Detroit, MI
Jack S. Elder, MD is a urology physician with a practice address in Detroit, Michigan, and NPI 1457385072, issued on Jul 10, 2006. Check the license (Michigan 4301072611, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Jack S. Elder
- Credential
- MD
- Primary taxonomy
- Urology Physician 208800000X
- License numbers
- 4301072611 MI
35-053721 OH
Self-reported in NPPES; status is on the state search - Practice location
- 2799 W Grand Blvd, Detroit, MI 48202
- Phone
- (313) 916-2600
- Enumerated
- Jul 10, 2006
- Record last updated
- Jan 9, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (313) 916-9539
- Medicaid IDs
- 0633587 OH
001953975002 PA
5196618 MI - Medicare enrollment
- Enrolled (PECOS I20150501001487); accepts Medicare assignment
- Medical or professional school
- University Of Oklahoma College Of Medicine, 1976
- Entity
- Type 1 · individual
8 nearest urology physician records → All 446 in Michigan → Look up another NPI →
Also registered at 2799 W Grand Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Muhammad Abbas, MDStudent in an Organized Health Care Education/Training Program1417607474
- Omar Abbas, MDAnatomic Pathology & Clinical Pathology Physician1417687450
- Ammaar Abbasi, M.D.Student in an Organized Health Care Education/Training Program1558005157
- Josianne Abboud, MDAnesthesiology Physician1912342791
- Sai Abburi, DOStudent in an Organized Health Care Education/Training Program1124962915
Verify Jack S. Elder in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 4301072611Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $14.92
1 payment: food and beverage; the largest payer was Dentsply IH AB. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Massachusetts General Physicians Organization IncBoston, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jack S. Elder among 446 urology physician records in Michigan
Jack S. Elder, MD is one of 446 urology physician records with a practice address in Michigan. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 49% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated1976 · median 2004 among the 297 with a school on file
- Record last updated2013 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Urology Physician providers in Michigan
There are 446 urology physician records in Michigan.
All 446 in Michigan → Every provider in Detroit → Urology Physician nationwide →
The 8 urology physician records with the nearest ZIP codes
- Ali Dabaja, M.DDetroit, MI 482021144426792
- Riad Farah, M.D.Detroit, MI 482021851451728
- Frank Holloway, M.D.Detroit, MI 482021588724454
- Wooju Jeong, M.D.Detroit, MI 482021851626774
- David LeavittDetroit, MI 482021841463692
- Ray Littleton, M.D.Detroit, MI 482021023178993
- Mani Menon, M.D.Detroit, MI 482021669532537
- James Peabody, M.D.Detroit, MI 482021396805164
Common questions
What is Jack S. Elder, MD's NPI number?
Jack S. Elder, MD's National Provider Identifier (NPI) is 1457385072, issued on Jul 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jack S. Elder, MD located?
The NPPES record lists a practice address at 2799 W Grand Blvd, Detroit, MI, 48202. Phone: (313) 916-2600. Providers update this record themselves, so call before visiting.
How can I verify Jack S. Elder, MD's license?
NPPES lists Michigan license number 4301072611, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.