NPIMap

Individual provider Active NPI

Shaun M Jayakar, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Warren, MI
National Provider Identifier
1770747594
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
4301086680 Issued in MI
Practice address
31150 Hoover
Suite B
Warren, MI 48093
Phone
(586) 983-3666
Fax
(586) 983-3776
NPI assigned
Jul 10, 2008
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301086680 MI Primary

Addresses

Primary practice location

31150 Hoover
Suite B
Warren, MI 48093

Mailing address

1356 Brys Dr
Grosse Pointe Woods, MI 48236-1017
Phone (313) 402-6580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090203000607 MI Practitioner - Internal MedicinePractitioner - Sleep Medicine 5799849907 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
GS Jayakar MD PCGroup PAC ID 7911071493, 2 clinicians
Doctor Robot PLLCGroup PAC ID 6002113115, 2 clinicians

Practice addresses (Care Compare)

21610 E 9 Mile Rd
Saint Clair Shores, MI 48080-1812
Phone (586) 775-6010

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.16 of 100Reported as group
Quality
0
Improvement activities
40
Cost
73.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
GS Jayakar MDPC CurrentSince Jul 1, 2009 Accepting new patients
BG Tricounty Neurology& Sleep Clinic PC CurrentSince Jan 1, 2009 Accepting new patients
Doctor Robot PLLC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

25900 Greenfield Rd
Ste 140
Oak Park, MI 48237
Phone (248) 352-5851

31408 Harper Ave
St Clair Shrs, MI 48082
Phone (586) 447-6428

21610 E 9 Mile Rd
St Clr Shores, MI 48080
Phone (586) 775-6010

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

31150 Hoover Rd
Ste B
Warren, MI 48093
Phone (586) 983-3666

Interoperability endpoints

  • Direct secure messaging: sjayakar1133319@direct.hfhs.org

Organizations & group practices 5

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

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1770747594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 BRYS DR",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361017",
            "telephone_number": "313-402-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31150 HOOVER",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-983-3666",
            "fax_number": "586-983-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAKAR",
        "first_name": "SHAUN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301086680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.