Mark Kevin Jacob, M.D.
Pulmonary Disease Physician · Rockford, IL
Mark Kevin Jacob, M.D. is a pulmonary disease physician with a practice address in Rockford, Illinois, and NPI 1063688497, issued on May 6, 2008. Check the license (Illinois 036.161882, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Mark Kevin Jacob
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License numbers
- 036.161882 IL
2011-01117 NC
04-331614 KS
4301086585 MI
Self-reported in NPPES; status is on the state search - Practice location
- 1340 Charles St Ste 401, Rockford, IL 61104
- Phone
- (779) 696-6102
- Enumerated
- May 6, 2008
- Record last updated
- Dec 27, 2024
- Medicaid ID
- 5919082 NC
- Medicare enrollment
- Enrolled (PECOS I20180626003693); accepts Medicare assignment
- Medical or professional school
- Wayne State University School Of Medicine, 2005
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 617 in Illinois → Look up another NPI →
Also registered at 1340 Charles St Ste 401
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Samridhi Gulati, MDCritical Care Medicine (Internal Medicine) Physician1245737253
Verify Mark Kevin Jacob in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036.161882Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Advantage Health/saint Mary's Medical GroupGrand Rapids, MI
- Dlp Western Carolina Physician Practices LLCBryson City, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark Kevin Jacob among 617 pulmonary disease physician records in Illinois
Mark Kevin Jacob, M.D. is one of 617 pulmonary disease physician records with a practice address in Illinois. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 54% of them.
- NPI issued2008 · 54% of these records are older, 39% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2005 · median 2005 among the 444 with a school on file
- Record last updated2024 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Illinois
There are 617 pulmonary disease physician records in Illinois.
All 617 in Illinois → Every provider in Rockford → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Suraj Bopanna, MD, MRCPRockford, IL 611041740433291
- Tabassum Nafsi, MDRockford, IL 611041396931069
- Michael Puruckherr, MDRockford, IL 611041487684353
- Mohamed Zeater, MDRockford, IL 611041285690958
- Abdullah Altayeh, M.D.Rockford, IL 611031831191584
- Zaher Qassem, MDRockford, IL 611031366551996
- Bharati Roy, MDRockford, IL 611031366552556
- Nadeem Hanif, M.D.Rockford, IL 611071972617181
Common questions
What is Mark Kevin Jacob, M.D.'s NPI number?
Mark Kevin Jacob, M.D.'s National Provider Identifier (NPI) is 1063688497, issued on May 6, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Mark Kevin Jacob, M.D. located?
The NPPES record lists a practice address at 1340 Charles St Ste 401, Rockford, IL, 61104. Phone: (779) 696-6102. Providers update this record themselves, so call before visiting.
How can I verify Mark Kevin Jacob, M.D.'s license?
NPPES lists Illinois license number 036.161882, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. 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.