Individual provider Active NPI

Jashu Patel, MD

  • Cardiovascular Disease Physician
  • Jackson, MI
National Provider Identifier
1366408692
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
JP046099 Issued in MI
Practice address
205 Page Ave
Jackson, MI 49201-2462
Phone
(517) 787-3577
Fax
(517) 787-4280
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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 JP046099 MI Primary

Addresses

Primary practice location

205 Page Ave
Jackson, MI 49201-2462

Mailing address

6076 Browns Lake Rd
Jackson, MI 49203-5609

Other identifiers 1

IdentifierTypeStateIssuer
1645805MedicaidMI

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
I20100813001058 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274502273 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, shared by 11 NPIs, 476 clinicians
Rajendra Mehta, MD, PCGroup PAC ID 3577973833, 5 clinicians

Practice addresses (Care Compare)

205 N E Ave
Jackson, MI 49201-1753
Phone (217) 787-9322

306 W Washington Ave
Suite 102
Jackson, MI 49201-2141
Phone (517) 435-0260

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JP046099MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Cardiology & Associates Cardiovascular Disease CurrentSince Jan 1, 1993 Accepting new patients
Wa Foote Memorial Hospital Inc. CurrentSince May 1, 2012 Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Rajendra Mehta, MD, PC CurrentSince Aug 30, 2021 Accepting new patients
Jackson OB-GYN PLC CurrentSince Aug 30, 2021 Accepting new patients
Wa Foote Memorial Hospital, Inc Cardiovascular Disease CurrentSince May 15, 2002 Accepting new patients

Locations

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

306 W Washington Ave
Ste 102
Jackson, MI 49201
Phone (517) 435-0260

1701 Lake Lansing Rd
Ste 100
Lansing, MI 48912
Phone (517) 485-9676

Interoperability endpoints

  • Direct secure messaging: jpatel444321@direct.hfhs.org

Organizations & group practices 6

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

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1366408692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6076 BROWNS LAKE RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492035609"
        },
        {
            "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": {
        "last_name": "PATEL",
        "first_name": "JASHU",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "JP046099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1645805",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.