JACKSON CARDIOLOGY CONSULTANTS PLLC
NPI 1053970624
Internal Medicine - Interventional Cardiology in Jackson, MI

Active since June 07, 2019
205 PAGE AVE, JACKSON, MI 49201(517) 787-3577(517) 787-4280 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2021, Jun 7, 2019 (2 updates tracked since 2019).

About Jackson Cardiology Consultants Pllc NPPES

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

JACKSON CARDIOLOGY CONSULTANTS PLLC (NPI 1053970624) is a healthcare organization registered as an interventional cardiology in Jackson, Michigan and active in the NPI registry since June 2019. The organization lists Tareq Baghal, Owner, as its authorized official.

NPPES Registry Identity

NPI1053970624
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameJACKSON CARDIOLOGY CONSULTANTS PLLC
Location Address205 PAGE AVEJackson, MI 49201-2462
Mailing Address205 Page Ave Ste BJackson, MI 49201-2462 · (517) 787-3577 · Fax (517) 787-4280
Fax(517) 787-4280
Organization SubpartNo
Authorized OfficialTareq BaghalOwner · (517) 787-3577
Enumeration DateJune 7, 2019
Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1053970624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
205 PAGE AVE, Jackson, MI 49201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Cardiology Consultants Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Jackson Cardiology Consultants PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Cardiovascular Disease (Cardiology)7
Nurse Practitioner3
Interventional Cardiology2
Endocrinology1
Internal Medicine1

Clinicians, nearest first (14)

Interventional Cardiology
NPI 1255332490
205 PAGE AVE STE B
Jackson, MI 49201
(517) 787-3577
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1073019956
205 PAGE AVE
Jackson, MI 49201
(517) 787-3577
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1891705745
205 PAGE AVE SUITE B
Jackson, MI 49201
(517) 787-3577
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1770549099
306 W WASHINGTON AVE STE 102
Jackson, MI 49201
(517) 435-0260
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1295349967
205 PAGE AVE
Jackson, MI 49201
(517) 878-3577
✔ PECOS4.2 mi
Nurse Practitioner
NPI 1396375366
309 PAGE AVE
Jackson, MI 49201
(517) 205-0500
✔ PECOS✔ Accepts Medicare4.2 mi
Interventional Cardiology
NPI 1174939003
205 PAGE AVE STE B
Jackson, MI 49201
(517) 205-4800
✔ PECOS✔ Accepts Medicare4.2 mi
Cardiovascular Disease (Cardiology)
NPI 1306089040
205 PAGE AVE STE B
Jackson, MI 49201
(517) 787-3577
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1790813285
214 N WEST AVE
Jackson, MI 49201
(517) 247-4250
✔ PECOS9.2 mi
Cardiovascular Disease (Cardiology)
NPI 1902105463
205 N EAST AVE
Jackson, MI 49201
(517) 205-4800
✔ PECOS✔ Accepts Medicare9.8 mi
Cardiovascular Disease (Cardiology)
NPI 1508000274
1031 SUNCREST DR
Lapeer, MI 48446
(810) 664-4870
✔ PECOS78 mi
Cardiovascular Disease (Cardiology)
NPI 1932341294
2122 HEALTH DR SW
Wyoming, MI 49519
(616) 252-5950
✔ PECOS✔ Accepts Medicare80 mi
Endocrinology
NPI 1285793521
1225 E COOLSPRING AVE STE 2C
Michigan City, IN 46360
(219) 877-1298
✔ PECOS✔ Accepts Medicare134 mi
Internal Medicine
NPI 1679032445
635 EICHENFELD DR
Brandon, FL 33511
(813) 684-6000
✔ PECOS✔ Accepts Medicare994 mi

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

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 Jackson Cardiology Consultants PLLC's NPI number?

The NPI number for Jackson Cardiology Consultants PLLC is 1053970624. It was assigned to this organization in the NPPES registry on June 7, 2019.

Where is Jackson Cardiology Consultants PLLC located?

Jackson Cardiology Consultants PLLC is located at 205 Page Ave, Jackson, MI 49201. The listed phone number is (517) 787-3577.

What is Jackson Cardiology Consultants PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Jackson Cardiology Consultants PLLC enrolled in Medicare?

Yes. Jackson Cardiology Consultants PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Cardiology Consultants PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Jackson Cardiology Consultants PLLC. A 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 the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (7), Nurse Practitioner (3) and Interventional Cardiology (2). Of these, 3 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jackson Cardiology Consultants PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jackson Cardiology Consultants PLLC 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.

When was this NPI record last updated?

The NPPES record for Jackson Cardiology Consultants PLLC was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.