Active NPI
Vladislav Jankulov, M.D.
- Diagnostic Radiology Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301066811
- Practice address
- 840 Oakwood Blvd
Dearborn, MI 48124-2319 - Phone
- (313) 359-7650
- Fax
- (313) 359-7660
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301066811 | MI | Primary |
Addresses
Primary practice location
840 Oakwood Blvd
Dearborn, MI 48124-2319
Mailing address
PO Box 2802
Dearborn, MI 48123-2929
Phone (313) 359-7650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4316248 | Medicaid | MI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050602000548 | MI | Practitioner - Diagnostic Radiology | 5799728671 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DRS Harris Birkhill Wang Songe and Assoc PC
Practice addresses (Care Compare)
10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5142
18100 Oakwood Blvd
Suite 200
Dearborn, MI 48124-4085
Phone (313) 593-7301
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7301
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6005
25045 Ford Rd
Suite 100
Dearborn, MI 48128-1088
Phone (313) 359-7650
33101 Annapolis St
Wayne, MI 48184-2405
Phone (313) 359-7600
33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000
5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3877
Hospital & facility affiliations
- Beaumont Hospital - Dearborn
- Wyandotte Hospital and Medical Center
- Corewell Health Trenton Hospital
- Beaumont Hospital - Taylor
- Corewell Health Wayne Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.42 of 100
- Quality
- 46.59
- Improvement activities
- 0
- Cost
- 64.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Harris Birkhill Wang Songe & Assoc PC | Diagnostic Radiology | Current | Accepting new patients |
| Robert C Schwyn MD PC | Past | Accepting new patients | |
| Neurology Care Center PC | Past | Accepting new patients | |
| Oakwood Healthcare Inc | Past | Accepting new patients |
Locations
840 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 359-7600
18100 Oakwood Blvd
Ste 200
Dearborn, MI 48124
Phone (313) 438-7715
25045 Ford Rd
Dearborn, MI 48128
Phone (313) 359-0660
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
Interoperability endpoints
- vjankulov63486@direct.hfhs.org
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1679529978
Diagnostic Radiology, MI
-
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- Dearborn, MI
- NPI 1568707594
-
- Community/Retail Pharmacy
- Westland, MI
- NPI 1033128178
-
- Neurology Physician
- Dearborn, MI
- NPI 1598702979
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1760429765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2802",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481232929",
"telephone_number": "313-359-7650",
"fax_number": "313-359-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 OAKWOOD BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242319",
"telephone_number": "313-359-7650",
"fax_number": "313-359-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANKULOV",
"first_name": "VLADISLAV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301066811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4316248",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.