JAINA SABU SAMUEL
NPI 1003379314
Nurse Practitioner - Acute Care in Detroit, MI

Active since April 12, 2019PECOS EnrolledAccepts Medicare Assignment
22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Nov 7, 2019, Apr 12, 2019 (3 updates tracked since 2019).

About Jaina Sabu Samuel NPPES

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

JAINA SABU SAMUEL (NPI 1003379314) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704247931) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003379314
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJAINA SABU SAMUEL
Location Address22101 MOROSS RDDetroit, MI 48236-2148
Mailing Address49409 W Central ParkShelby Twp, MI 48317-6355 · (734) 620-7933
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 12, 2019
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1003379314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704247931
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 4704247931 (MI)
22101 MOROSS RD, Detroit, MI 48236

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaina Sabu Samuel 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 ID9830623032
PECOS Enrollment IDI20241111002620
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.

Hospital Affiliations CMS Care Compare

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
22101 MOROSS RD
DETROIT, MI 48236
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Physical Therapist
22101 MOROSS RD
DETROIT, MI 48236
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Clinic/Center
22101 MOROSS RD
DETROIT, MI 48236
Internal Medicine
22101 MOROSS RD, PB2 SUITE 50
DETROIT, MI 48236
Nurse Anesthetist, Certified Registered
22101 MOROSS RD
DETROIT, MI 48236

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 Jaina Samuel's NPI number?

The NPI number for Jaina Samuel is 1003379314. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Jaina Samuel located?

Jaina Samuel practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-4000.

What is Jaina Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jaina Samuel enrolled in Medicare?

Yes. Jaina Samuel 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.

What insurance does Jaina Samuel accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jaina Samuel 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 Jaina Samuel affiliated with any hospitals?

According to CMS data, Jaina Samuel is affiliated with Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Jaina Samuel was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.