Individual provider Active NPI

Ankur Ashok Jain, MD

  • Diagnostic Radiology Physician
  • Dearborn, MI
National Provider Identifier
1538652185
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4351030569 Issued in MI
Practice address
18101 Oakwood Blvd
Dearborn, MI 48124
Phone
(313) 593-7000
NPI assigned
Jun 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4351030569 MI Primary

Addresses

Primary practice location

18101 Oakwood Blvd
Dearborn, MI 48124

Mailing address

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

Other practice location 1

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230504002387 MI Practitioner - Diagnostic Radiology 3375899248 Reassigns benefits to 5 organizations
I20260522000013 FL Practitioner - Diagnostic Radiology 3375899248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Great Lakes Radiology ServicesGroup PAC ID 7113456831, 32 clinicians

Practice addresses (Care Compare)

18600 Fernview St
Suite 101
Land O Lakes, FL 34638-6212
Phone (813) 692-8010

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9216
Phone (800) 475-6112

4503 Bruce B Downs Blvd
Suite 104
Wesley Chapel, FL 33544-9216
Phone (813) 976-1026

729 W Ann Arbor TRL
Suite 2
Plymouth, MI 48170-6225
Phone (800) 475-6112

Hospital & facility affiliations

  • Garden City Hospital Hospital, Garden City, MI, CCN 230244
  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351030569MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proscan Imaging Southfield PLLC Diagnostic Radiology CurrentSince May 6, 2025 Accepting new patients
McLaren Bay Region CurrentSince Aug 14, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Aug 14, 2025 Accepting new patients
McLaren Hospital Group Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Aug 14, 2025 Accepting new patients
McLaren Bay Region CurrentSince Aug 14, 2025 Accepting new patients
McLaren Flint Diagnostic Radiology CurrentSince Aug 14, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Flint CurrentSince Aug 14, 2025 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients

Locations

4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 870-4000

4 Columbus Ave
Ste 160
Bay City, MI 48708
Phone (989) 377-4477

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

10090 E Lippincott Blvd
Davison, MI 48423
Phone (810) 653-1130

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

4190 24th Ave
Fort Gratiot, MI 48059
Phone (810) 216-4300

1320 E M 32
Gaylord, MI 49735
Phone (231) 487-5400

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

729 W Ann Arbor Trl
Ste 2
Plymouth, MI 48170
Phone (734) 673-3764

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

573 N Bradley Hwy
Rogers City, MI 49779
Phone (989) 734-2171

Organizations & group practices 11

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 4

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1538652185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-593-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-593-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481803330",
            "country_code": "US",
            "telephone_number": "313-295-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ANKUR",
        "middle_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4351030569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.