Active NPI
Jackson Cardiology Consultants PLLC
- Interventional Cardiology Physician
- Jackson, MI
National Provider Identifier
1053970624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- JACKSON CARDIOLOGY CONSULTANTS PLLC
- Practice address
- 205 Page Ave
Jackson, MI 49201-2462 - Phone
- (517) 787-3577
- Fax
- (517) 787-4280
- NPI assigned
- Jun 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tareq Baghal, MD
- Title
- Owner
- Phone
- (517) 787-3577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | Primary |
Addresses
Primary practice location
205 Page Ave
Jackson, MI 49201-2462
Mailing address
205 Page Ave Ste B
Jackson, MI 49201-2462
Phone (517) 787-3577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190703002083 | MI | Part B Supplier - Clinic/Group Practice | 0042545535 |
Receives reassigned benefits from 15 practitioners Practice locations: Jackson, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Jackson, MI
- NPI 1902105463
Interventional Cardiology, MI
-
- Cardiovascular Disease Physician
- Jackson, MI
- NPI 1073019956
Interventional Cardiology, MI
-
- Endocrinology, Diabetes & Metabolism Physician
- Michigan City, IN
- NPI 1285793521
MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1053970624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PAGE AVE STE B",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012462",
"telephone_number": "517-787-3577",
"fax_number": "517-787-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PAGE AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012462",
"telephone_number": "517-787-3577",
"fax_number": "517-787-4280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON CARDIOLOGY CONSULTANTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-07",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "BAGHAL",
"authorized_official_first_name": "TAREQ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-787-3577",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.