Active NPI
GS Jayakar MDPC
- Cardiovascular Disease Physician
- Saint Clair Shores, MI
National Provider Identifier
1104088004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- GS JAYAKAR MDPC
- Practice address
- 21610 E 9 Mile Rd
Saint Clair Shores, MI 48080-1812 - Phone
- (586) 775-6010
- NPI assigned
- Jul 1, 2008
- 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
- Dr. Saroja S Jayakar, M.D.
- Title
- President
- Phone
- (586) 775-6010
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
21610 E 9 Mile Rd
Saint Clair Shores, MI 48080-1812
Mailing address
21610 E 9 Mile Rd
Saint Clair Shores, MI 48080-1812
Phone (586) 775-6010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1938182 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21610 E 9 Mile Rd
St Clr Shores, MI 48080
Phone (586) 775-6010
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Saint Clair Shores, MI
- NPI 1144259995
-
- Geriatric Medicine (Internal Medicine) Physician
- Warren, MI
- NPI 1770747594
-
- Nurse Practitioner
- Royal Oak, MI
- NPI 1952581050
-
- Family Medicine Physician
- Saint Clair Shores, MI
- NPI 1295987212
-
- Psychiatry Physician
- Farmington Hills, MI
- NPI 1669976569
-
- Family Nurse Practitioner
- Saint Clair Shores, MI
- NPI 1750097820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1104088004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21610 E 9 MILE RD",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801812",
"telephone_number": "586-775-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21610 E 9 MILE RD",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801812",
"telephone_number": "586-775-6010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GS JAYAKAR MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "JAYAKAR",
"authorized_official_first_name": "SAROJA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-775-6010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1938182",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.