Active NPI
Jabin Jalil, M.D.
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1982676391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301065247
- Practice address
- 8282 Woodward Ave
Detroit, MI 48202-2532 - Phone
- (313) 874-3440
- Fax
- (313) 874-2610
- NPI assigned
- Feb 2, 2006
- Last updated
- Sep 28, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301065247 | MI | Primary |
Addresses
Primary practice location
8282 Woodward Ave
Detroit, MI 48202-2532
Mailing address
23900 Orchard Lake Rd Ste 150
Farmington Hills, MI 48336-2500
Phone (248) 987-6295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4600502 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23900 Orchard Lake Rd
Suite 150
Farmington Hills, MI 48336-2500
Phone (248) 427-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Clinic/Center
- Farmington Hills, MI
- NPI 1265523328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1982676391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23900 ORCHARD LAKE RD STE 150",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483362500",
"telephone_number": "248-987-6295",
"fax_number": "248-987-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8282 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022532",
"telephone_number": "313-874-3440",
"fax_number": "313-874-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JALIL",
"first_name": "JABIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301065247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4600502",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.