Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jack S Elder, MD
Urology Physician in Detroit, MI · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1457385072
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Registry record
Entity type Individual (Type 1)
Name Jack S Elder
Credential MD
Sex Male
Practice address 2799 W Grand Blvd, Detroit, MI, 48202
Phone (313) 916-2600
Fax (313) 916-9539
Enumeration date Jul 10, 2006
Last updated in NPPES Jan 9, 2013
Taxonomy & licenses
208800000X Urology Physician Allopathic & Osteopathic Physicians · License 4301072611 (MI) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020H277290 | Other | MI | BCBS |
| 1900370 | Other | OH | UHC |
| 0633587 | Medicaid | OH | - |
| 000000026163 | Other | OH | ANTHEM |
| 1396817714 | Other | MI | GROUP NPI |
| 001953975002 | Medicaid | PA | - |
| 5196618 | Medicaid | MI | - |
| P00388789 | Other | OH | RAILROAD MEDICARE |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Jack Elder?
The National Provider Identifier (NPI) for Jack Elder is 1457385072, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jack Elder practice?
The practice location on file with NPPES is in Detroit, MI. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Donna Prince Diagnostic Radiology Physician · Detroit, MI NPI 1235132069 Jeffrey Weingarten Urology Physician · Detroit, MI NPI 1568466258 Nazir Ahmed Physical Therapist · Detroit, MI NPI 1386642817 Jenny Grunwald Physician Assistant · Detroit, MI NPI 1124013016 Shailaja Gaddam Neurology Physician · Detroit, MI NPI 1316933971 Angela Bell Certified Registered Nurse Anesthetist · Detroit, MI NPI 1932195104 Karen Bronson Physician Assistant · Detroit, MI NPI 1295722270 Vicki Irish Women's Health Nurse Practitioner · Detroit, MI NPI 1225025273
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-09.