NPIMap

Organization Active NPI

Jackson Radiology Consultants, P C

  • Diagnostic Radiology Physician
  • Jackson, MI
National Provider Identifier
1295736015
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
JACKSON RADIOLOGY CONSULTANTS, P C
Practice address
205 N East Ave
Imaging Department
Jackson, MI 49201-1753
Phone
(517) 783-2612
Fax
(517) 783-5991
NPI assigned
Aug 2, 2005
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Piyush C Patel, M.D.NPI 1770584948
Title
President
Phone
(517) 783-2612

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MI Primary

Addresses

Primary practice location

205 N East Ave
Imaging Department
Jackson, MI 49201-1753

Mailing address

2800 Spring Arbor Rd Ste 102
PO Box 905
Jackson, MI 49203-3895
Phone (517) 783-2612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, FL, IA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040526000669 MI Part B Supplier - Clinic/Group Practice 1254312267 Receives reassigned benefits from 13 practitioners
Practice locations: Jackson, MI
O20240304002484 CA Part B Supplier - Clinic/Group Practice 1254312267 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA
O20240916000191 FL Part B Supplier - Clinic/Group Practice 1254312267 Receives reassigned benefits from 1 practitioner
Practice locations: Sebring, FL
O20250714001806 IA Part B Supplier - Clinic/Group Practice 1254312267 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Falls, IA

National Provider Directory

National Provider Directory

Locations

1201 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-1431

2200 Springport Rd
Jackson, MI 49202
Phone (517) 784-9356

2800 Spring Arbor Rd
Ste 102
Jackson, MI 49203
Phone (517) 782-0200

400 Hinckley Blvd
Ste 200
Jackson, MI 49203
Phone (517) 205-8991

505 N Jackson St
Jackson, MI 49201
Phone (517) 748-5500

600 S Brown St
Jackson, MI 49203
Phone (505) 690-4159

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1295736015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SPRING ARBOR RD STE 102",
            "address_2": "PO BOX 905",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033895",
            "telephone_number": "517-783-2612",
            "fax_number": "517-783-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "address_2": "IMAGING DEPARTMENT",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-783-2612",
            "fax_number": "517-783-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON RADIOLOGY CONSULTANTS, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PIYUSH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-783-2612",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "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 2, 2024; 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.

Verify at the official NPI Registry.