Individual provider Active NPI

Saroja S Jayakar, M.D.

  • Cardiovascular Disease Physician
  • Saint Clair Shores, MI
National Provider Identifier
1144259995
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
SJ033040 Issued in MI
Practice address
21610 E 9 Mile Rd
Saint Clair Shores, MI 48080-1812
Phone
(586) 775-6010
NPI assigned
Jul 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X SJ033040 MI 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 3

IdentifierTypeStateIssuer
0605047351OtherMIBLUE CROSS/BLUE SHIELD
SJ033040OtherMILICENCE NUMBER
1938182MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000506 MI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4486728953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GS Jayakar MD PCGroup PAC ID 7911071493, 2 clinicians

Practice addresses (Care Compare)

21610 E 9 Mile Rd
Saint Clair Shores, MI 48080-1812
Phone (586) 775-6010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
SJ033040MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GS Jayakar MDPC Cardiovascular Disease CurrentSince Apr 1, 2008 Accepting new patients
Doctor Robot PLLC PastSince Apr 14, 2018 Accepting new patients

Locations

21610 E 9 Mile Rd
St Clr Shores, MI 48080
Phone (586) 775-6010

Interoperability endpoints

  • Direct secure messaging: sjayakar1133317@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144259995",
    "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": {
        "last_name": "JAYAKAR",
        "first_name": "SAROJA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "SJ033040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0605047351",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "SJ033040",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1938182",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.