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NPI · 1639468614 · NPPES-sourced

Jaisy Jacob

ActiveDiagnostic Radiology
NPI Number
1639468614
Type 1 · Individual
Taxonomy Code
2085R0202X
Contact
(313) 576-9900
License MI · 4301107800
Last Updated
Enumerated
Primary practice addressMI · 48201-2013
4100 John R StDetroit, MI 48201-2013
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About this NPIWhat this record shows.

NPI 1639468614 is registered to Jaisy Jacob, a Diagnostic Radiology practising at 4100 John R St in Detroit, Michigan. Diagnostic Radiology uses medical imaging (X-ray, CT, MRI, ultrasound, and nuclear medicine) to diagnose disease and injury. Jaisy Jacob has been enumerated in the National Provider Identifier (NPI) registry since 2011.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jaisy Jacob accepts. To confirm in-network status with your specific health plan, contact Jaisy Jacob directly at (313) 576-9900.

Frequently asked

Yes. NPI 1639468614 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Diagnostic Radiology uses medical imaging (X-ray, CT, MRI, ultrasound, and nuclear medicine) to diagnose disease and injury.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (313) 576-9900.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jaisy Jacob is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2085R0202X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Diagnostic Radiology providers in Michigan.

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