Individual provider Active NPI

Haresh Jani, M.D.

  • Cardiovascular Disease Physician
  • Jackson, MI
National Provider Identifier
1760486583
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
HJ4301064728 Issued in MI
Practice address
2575 Spring Arbor Rd
Ste 400
Jackson, MI 49203-3652
Phone
(517) 787-7844
Fax
(517) 783-5044
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X HJ4301064728 MI
Cardiovascular Disease Physician 207RC0000X HJ4301064728 MI Primary

Addresses

Primary practice location

2575 Spring Arbor Rd
Ste 400
Jackson, MI 49203-3652

Mailing address

5894 Marengo St
Jackson, MI 49201-8315
Phone (517) 787-7844

Other practice location 1

1433 E Michigan Ave Ste A
Lansing, MI 48912-2100
Phone (517) 482-2020

Other identifiers 1

IdentifierTypeStateIssuer
3237936-10MedicaidMI

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
I20040430000089 MI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2668469651 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, shared by 11 NPIs, 476 clinicians

Practice addresses (Care Compare)

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

2575 Spring Arbor Rd
Suite 100
Jackson, MI 49203-3652
Phone (517) 787-7844

718 N Macomb St
Mercy Memorial Hosp
Monroe, MI 49161-7815
Phone (734) 240-4557

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HJ4301064728MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Foote Memorial Hospital, Inc Internal Medicine CurrentSince Nov 9, 2002 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC Cardiovascular Disease CurrentSince May 1, 2024 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC Cardiovascular Disease CurrentSince May 1, 2024 Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Cardiology Group of Lansing P C Cardiovascular Disease CurrentSince May 1, 2004 Accepting new patients

Locations

5640 N Adrian Hwy
Ste A
Adrian, MI 49221
Phone (517) 577-0525

770 Riverside Ave
Ste 106
Adrian, MI 49221
Phone (517) 266-0525

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

2575 Spring Arbor Rd
Ste 100
Jackson, MI 49203
Phone (517) 482-2020

1433 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 482-2020

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

Interoperability endpoints

  • Direct secure messaging: hjni451589@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 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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1760486583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5894 MARENGO ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018315",
            "telephone_number": "517-787-7844",
            "fax_number": "517-783-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 SPRING ARBOR RD",
            "address_2": "STE 400",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033652",
            "telephone_number": "517-787-7844",
            "fax_number": "517-783-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1433 E Michigan Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489122100",
            "country_code": "US",
            "telephone_number": "517-482-2020",
            "fax_number": "517-482-3664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANI",
        "first_name": "HARESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "HJ4301064728",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "HJ4301064728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3237936-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.