LAEIA B JACKSON MD
NPI 1003348673
Radiology - Radiological Physics in Toledo, OH

Q: What is Laeia Jackson's NPI number?

The NPI number for Laeia Jackson is 1003348673. It was assigned to this individual provider in the NPPES registry on April 1, 2017.

Q: What is Laeia Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiological Physics, with taxonomy code 2085R0205X.

Q: When was this NPI record last updated?

The NPPES record for Laeia Jackson was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2017PECOS EnrolledAccepts Medicare Assignment

5757 PARK CENTER CT., TOLEDO, OH 43615(419) 474-4064(419) 472-2772 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2023, Apr 1, 2017 (2 updates tracked since 2017).

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About Laeia B Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAEIA B JACKSON MD (NPI 1003348673) is an individual radiological physics provider in Toledo, Ohio, licensed in Michigan (4301507021) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1003348673

Entity TypeIndividualFemale

Primary Taxonomy2085R0205X

Provider Legal NameLAEIA B JACKSONCredential: MD

Location Address5757 PARK CENTER CT.Toledo, OH 43615

Mailing Address5757 Park Center Ct.Toledo, OH 43615 · (419) 474-4064 · Fax (419) 472-2772

Phone(419) 474-4064

Fax(419) 472-2772

Sole ProprietorYes

Medical School CMSMeharry Medical College School Of MedicineGraduated 2017

Enumeration DateApril 1, 2017

Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1003348673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiological PhysicsAllopathic & Osteopathic Physicians

Taxonomy Code2085R0205X

License✔ Licensed in MI · 4301507021

Definition

A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5757 PARK CENTER CT., Toledo, OH 43615

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Secondary Practice Location 1

Location 1550 S Jackson St, ACB 3rd floorLouisville, KY 40202-1622 · Phone (502) 852-5666

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laeia B Jackson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446638548

PECOS Enrollment IDI20220601002708, I20231120000927

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Laeia Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Toledo Radiological Associates, Inc.

4.4 mi

Diagnostic Radiology

2142 N COVE BLVD
Toledo, OH 43606

Reassigned Medicare billing, Michigan and Ohio enrollments
51 clinicians in this Medicare group

NPI 1801875208 (419) 479-8600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

682 services682 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

680 services680 patients

Screening 3d breast mammography 77063

312 services312 patients

Screening mammography 77067

312 services312 patients

Mri scan of both breasts 77049

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

122 services122 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

112 services108 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

107 services102 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

69 services68 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

52 services51 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

32 services32 patients

Nuclear medicine study, 1 area 78800

A nuclear medicine study is a diagnostic procedure that uses a small amount of radioactive substance to examine the function of a specific area in your body. This safe, non-invasive test helps doctors detect diseases, assess your condition, and plan the best treatment.

32 services32 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

22 services22 patients

Biopsy of breast and placement of locating device using x-ray with needle, first growth 19081

A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.

15 services15 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

14 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230005

Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County

Emergency services Birthing friendly

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230099

Location718 N Macomb StMonroe, MI 48162 · Monroe County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360259

Location2801 Bay Park DriveOregon, OH 43616 · Lucas County

Emergency services Birthing friendly

Promedica Defiance Regional Hospital

Critical Access Hospitals · Defiance, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361328

Location1200 Ralston AvenueDefiance, OH 43512 · Defiance County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK F CONNER MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

MR. ROBIN B SHERMIS MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

MR. JONATHAN J. YOBBAGY MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT., SUITE 200
TOLEDO, OH 43615

Lucas County (419) 474-4064

MR. ROBERT S DISALLE MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

DR. EDWARD L SUTHERLAND MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

MR. ZACHARY S. ROST MD

Radiology (Vascular & Interventional Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

MICHAEL RIZK MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

MR. JONATHAN A NADAUD MD

Radiology (Diagnostic Radiology)

5757 PARK CENTER CT.
TOLEDO, OH 43615

Lucas County (419) 474-4064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laeia Jackson's NPI number?

The NPI number for Laeia Jackson is 1003348673. It was assigned to this individual provider in the NPPES registry on April 1, 2017.

Where is Laeia Jackson located?

Laeia Jackson practices at 5757 Park Center Ct., Toledo, OH 43615. The listed phone number is (419) 474-4064.

What is Laeia Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiological Physics, with taxonomy code 2085R0205X.

Is Laeia Jackson enrolled in Medicare?

Yes. Laeia Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Laeia Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laeia Jackson reassigns Medicare benefits to Toledo Radiological Associates, Inc. (Toledo, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laeia Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laeia Jackson accept?

Health plans from Blue Care Network of Michigan list Laeia Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Laeia Jackson affiliated with any hospitals?

According to CMS data, Laeia Jackson is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Monroe Regional Hospital, Promedica Toledo Hospital, Bay Park Community Hospital and Promedica Defiance Regional Hospital.

When was this NPI record last updated?

The NPPES record for Laeia Jackson was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.