MR. JAYKUMAR SHAH AGACNP - BC
NPI 1154947323
Nurse Practitioner - Acute Care in West Bloomfield, MI

Q: 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.

Q: What is Jaykumar Shah's specialty?

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

Q: 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.

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment

6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(248) 325-0432 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2020, Jun 23, 2020 (2 updates tracked since 2020).

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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

NPI1154947323

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameMR. JAYKUMAR SHAHCredential: AGACNP - BC

Location Address6777 W MAPLE RDWest Bloomfield, MI 48322-3013

Mailing Address4687 Sutherland DrTroy, MI 48085-3464

Phone(248) 325-0432

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJune 23, 2020

Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration

NPPES CertifiedAugust 3, 2020

✔ NPI 1154947323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MI · 4704274015

6777 W MAPLE RD, West Bloomfield, MI 48322

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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

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.

PECOS PAC ID9830506484

PECOS Enrollment IDI20210325002302

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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services15 patients

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, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician 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.

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.

IRB MEDICAL EQUIPMENT LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322

Oakland County (248) 862-7214

MELISSA ANNE BARACH AGCNS

Clinical Nurse Specialist