John Jiang, MD
Individual provider Active NPI Diagnostic Radiology Physician · NLV, NV
NPI 1255412490 · NPPES record last updated Jul 13, 2015
Key facts
- NPI
- 1255412490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 4301086939 (MI)
- Practice address
- 6900 N Pecos Rd
NLV, NV 89086 - Phone
- (702) 791-9000
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Basha Diagnostics P C
Practice addresses (Care Compare)
30701 Woodward Ave
Suite LL
Royal Oak, MI 48073-0988
Phone (248) 288-1600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060323000336 | MI | Practitioner - Diagnostic Radiology | 1658388533 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basha Diagnostics P C | Diagnostic Radiology | Current |
Accepting new patients |
Locations
30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301086939 | MI | Yes |
Addresses
Primary practice location
6900 N Pecos Rd
NLV, NV 89086
Mailing address
6900 N Pecos Rd
NLV, NV 89086
Phone (702) 791-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4845176 | Medicaid | MI |
Other providers in NLV, NV
All providers in NLV, NV · Diagnostic Radiology Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.