GS JAYAKAR MDPC
NPI 1104088004
Internal Medicine - Cardiovascular Disease in Saint Clair Shores, MI

Active since July 01, 2008
21610 E 9 MILE RD, SAINT CLAIR SHORES, MI 48080(586) 775-6010 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gs Jayakar Mdpc NPPES

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

GS JAYAKAR MDPC (NPI 1104088004) is a healthcare organization registered as a cardiovascular disease in Saint Clair Shores, Michigan and active in the NPI registry since July 2008. The organization lists Saroja S Jayakar, President, as its authorized official.

NPPES Registry Identity

NPI1104088004
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameGS JAYAKAR MDPC
Location Address21610 E 9 MILE RDSaint Clair Shores, MI 48080-1812
Mailing Address21610 E 9 Mile RdSaint Clair Shores, MI 48080-1812 · (586) 775-6010
Organization SubpartNo
Authorized OfficialSaroja S JayakarPresident · (586) 775-6010
Enumeration DateJuly 1, 2008
✔ NPI 1104088004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
21610 E 9 MILE RD, Saint Clair Shores, MI 48080

Other Identifiers 2

Medicaid1938182MI
Medicare UPINA77086MI

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gs Jayakar Mdpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20080731000540Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Gs Jayakar Mdpc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Family Practice
NPI 1295987212
24911 LITTLE MACK AVE
Saint Clair Shores, MI 48080
(586) 447-9064
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1144259995
21610 E 9 MILE RD
Saint Clair Shores, MI 48080
(586) 775-6010
✔ PECOS✔ Accepts Medicare1.8 mi
Internal Medicine
NPI 1770747594
31150 HOOVER SUITE B
Warren, MI 48093
(586) 983-3666
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1952581050
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 423-3144
✔ PECOS✔ Accepts Medicare15 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 Gs Jayakar Mdpc's NPI number?

The NPI number for Gs Jayakar Mdpc is 1104088004. It was assigned to this organization in the NPPES registry on July 1, 2008.

Where is Gs Jayakar Mdpc located?

Gs Jayakar Mdpc is located at 21610 E 9 Mile Rd, Saint Clair Shores, MI 48080. The listed phone number is (586) 775-6010.

What is Gs Jayakar Mdpc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gs Jayakar Mdpc enrolled in Medicare?

Yes. Gs Jayakar Mdpc is registered in the Medicare PECOS enrollment system.

When is Gs Jayakar Mdpc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Gs Jayakar Mdpc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Gs Jayakar Mdpc, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gs Jayakar Mdpc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Gs Jayakar Mdpc 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 Gs Jayakar Mdpc was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.