JAYASHREE SEKARAN M.D. NPI 1013085547
Internal Medicine in Sterling Heights, MI

About JAYASHREE SEKARAN M.D.

Jayashree Sekaran is an internist established in Sterling Heights, Michigan and her medical specialization is Internal Medicine with more than 31 years of experience. The NPI number of Jayashree Sekaran is 1013085547 and was assigned on December 2006. The practitioner's primary taxonomy code is 207R00000X with license number 4301077533 (MI). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1013085547
Provider Name JAYASHREE SEKARAN M.D.
Location AddressHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD STERLING HEIGHTS, MI 48310
Location Phone(586) 977-9936
Mailing AddressHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD STERLING HEIGHTS, MI 48310
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1992
Is Sole Proprietor?No
Enumeration Date12-01-2006
Last Update Date07-08-2007

An internist like Jayashree Sekaran M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Jayashree Sekaran is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Jayashree Sekaran is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Henry Ford Hospital and Henry Ford Macomb Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $34.94 for a new patient copayment and $26.81 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.4301077533
License StateMI
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare
  • Tricare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

JAYASHREE SEKARAN M.D.
HENRY FORD HEALTH SYSTEM
3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI
ZIP 48310
Phone: (586) 977-9936
Fax: (586) 268-8158

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Mailing Address

JAYASHREE SEKARAN M.D.
HENRY FORD HEALTH SYSTEM
3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI
ZIP 48310
Phone: (586) 977-9936


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID840268090
PECOS Enrollment IDI20040924000247
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 48310 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$60.64 $184.65 $139.76
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.16 $46.16 $34.94
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.56 $150 $107.24
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.64 $37.5 $26.81

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 30Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jayashree Sekaran is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HENRY FORD HOSPITAL2799 W GRAND BLVD
DETROIT, MI 48202
(313) 916-2600Acute Care Hospitals230053
HENRY FORD MACOMB HOSPITAL15855 NINETEEN MILE RD
CLINTON TOWNSHIP, MI 48038
(586) 263-2300Acute Care Hospitals230047

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
JS077533OTHER (01)CHAMPUS-CHAMPUS
JS077533OTHER (01)COMMERCIAL-COMMERCIAL NUMBER
H73916MEDICARE UPIN (02)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013085547
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 0 + 5 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1013085547 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265506778 JAYANT C. SANGHVI M.D.
Individual
Emergency MedicineHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1487728994 JAMES L. FREEMAN M.D.
Individual
Emergency MedicineHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1487728093 LIONEL J. BODZIN M.D.
Individual
Orthopaedic SurgeryHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1467526582 MICHAEL T. ROSS M.D.
Individual
Emergency Medicine (Emergency Medical Services)HENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1669540191 MARIA SAMUEL M.D.
Individual
Internal MedicineHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1417025966 KAVITA PARAGI M.D.
Individual
Internal MedicineHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1548338098 GREGORY D. KROL M.D.FACP
Individual
Internal MedicineHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1578631016 MOUNA HADDAD-KHOURY M.D.
Individual
Internal MedicineHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1821158221 LAWRENCE J. HAMBURGER M.D.
Individual
OphthalmologyHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1245387042 USHA BATRA M.D.
Individual
PediatricsHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1821145632 FRANCISCA S. SOLIVEN M.D.
Individual
PediatricsHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1922155738 RUBENORA M. RAMAN M.D.
Individual
PediatricsHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1740337559 SYBIL S. RODRIGUES M.D.
Individual
PediatricsHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1114074929DR. LEONARD B. POLLACK M.D.
Individual
PediatricsHENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1255409785DR. SURJIT S. BHASIN MD
Individual
Internal Medicine (Cardiovascular Disease)HENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 977-9936
1891823365 ZACHARY Q. MORRIS M.D.
Individual
Internal Medicine (Pulmonary Disease)HENRY FORD HEALTH SYSTEM 3500 FIFTEEN MILE ROAD
STERLING HEIGHTS, MI 48310
(586) 268-8980

Frequently Asked Questions

What is Jayashree Sekaran M.D. NPI number?

The NPI number assigned to Jayashree Sekaran M.D. is 1013085547, registered as an "individual" on December 01, 2006

Where is Jayashree Sekaran M.D. located?

The provider is located at Henry Ford Health System 3500 Fifteen Mile Road Sterling Heights, Mi 48310 and the phone number is (586) 977-9936

Which is Jayashree Sekaran M.D. specialty?

The provider's speciality is Internal Medicine

How many years of experience does Jayashree Sekaran M.D. have?

The provider has more than 31 years of experience.

What insurance does Jayashree Sekaran M.D. accept?

The provider might be accepting Medicaid, Medicare and Tricare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Jayashree Sekaran M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Jayashree Sekaran M.D.?

Medicare beneficiaries should expect a typical cost of $139.76 with an average copayment of $34.94 for new patient appointments. Established patients should expect a typical charge of $107.24 and an average copayment of 26.81. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Jayashree Sekaran M.D.?

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit.

Is Jayashree Sekaran M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: HENRY FORD HOSPITAL and HENRY FORD MACOMB HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Jayashree Sekaran M.D. was last updated on December 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]