MR. JAYKUMAR SHAH AGACNP - BC
NPI 1154947323
Nurse Practitioner - Acute Care in West Bloomfield, MI
About Mr. Jaykumar Shah Agacnp - Bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAYKUMAR SHAH AGACNP - BC (NPI 1154947323) is an individual acute care provider in West Bloomfield, Michigan, licensed in Michigan (4704274015) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mr. Jaykumar Shah Agacnp - Bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jaykumar Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 577 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Health Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WEST BLOOMFIELD, MI 48322
WEST BLOOMFIELD, MI 48322
WEST BLOOMFIELD, MI 48322
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 Jaykumar Shah's NPI number?
The NPI number for Jaykumar Shah is 1154947323. It was assigned to this individual provider in the NPPES registry on June 23, 2020.
Where is Jaykumar Shah located?
Jaykumar Shah practices at 6777 W Maple Rd, West Bloomfield, MI 48322. The listed phone number is (248) 325-0432.
What is Jaykumar Shah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jaykumar Shah enrolled in Medicare?
Yes. Jaykumar Shah 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 Jaykumar Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaykumar Shah reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). 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 Jaykumar Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaykumar Shah 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 and 1 other insurer list Jaykumar Shah 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 Jaykumar Shah affiliated with any hospitals?
According to CMS data, Jaykumar Shah is affiliated with Henry Ford Health Hospital.
When was this NPI record last updated?
The NPPES record for Jaykumar Shah was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Jaykumar Shah, AGACNP - BC · NPI 1154947323
Acute Care physician in West Bloomfield, Michigan. Individual provider, active in the CMS NPPES registry since June 23, 2020.
## Identity
- **NPI:** 1154947323 (Entity type: Individual)
- **Enumerated:** June 23, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 4704274015 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6777 W MAPLE RD, West Bloomfield, MI 48322-3013
- **Phone:** (248) 325-0432
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Henry Ford Health System (NPI 1104900455, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1154947323) · Data from the CMS NPPES public registry.