MIRNA JADAN MD
NPI 1396368643
Family Medicine in Ann Arbor, MI
About Mirna Jadan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRNA JADAN MD (NPI 1396368643) is an individual family medicine provider in Ann Arbor, Michigan, licensed in Michigan (4301509024) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mirna Jadan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Mirna Jadan reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison Heights, MI 48071
- Reassigned Medicare billing, Michigan enrollment
- 25 clinicians in this Medicare group
Southfield, MI 48076
- Reassigned Medicare billing, Michigan enrollment
- 279 clinicians in this Medicare group
Rochester Hills, MI 48309
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Brian T Gietzen MD PC
- 9 clinicians in this Medicare group
Indianapolis, IN 46214
- Reassigned Medicare billing, Indiana enrollment
- 7 clinicians in this Medicare group
West Allis, WI 53214
- Reassigned Medicare billing, Wisconsin enrollment
- 20 clinicians in this Medicare group
Saint Paul, MN 55114
- Reassigned Medicare billing, Minnesota enrollment
- 7 clinicians in this Medicare group
Miami, FL 33137
- Reassigned Medicare billing, Florida enrollment
- 108 clinicians in this Medicare group
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 7 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48104 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mirna Jadan's NPI number?
The NPI number for Mirna Jadan is 1396368643. It was assigned to this individual provider in the NPPES registry on May 21, 2020.
Where is Mirna Jadan located?
Mirna Jadan practices at 2370 E Stadium Blvd # 2049, Ann Arbor, MI 48104. The listed phone number is (650) 503-9990.
What is Mirna Jadan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mirna Jadan enrolled in Medicare?
Yes. Mirna Jadan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mirna Jadan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mirna Jadan reassigns Medicare benefits to 8 organizations: Seasons Medical Group Of Michigan, PC (Madison Heights, MI), Vpa PC (Southfield, MI), Brian T. Gietzen, M. D., P. C. (Rochester Hills, MI), Seasons Medical Group Of Indiana, PC (Indianapolis, IN), Accentcare Medical Group Of Wisconsin, S.C. (West Allis, WI) and 3 more organizations, listed in the Medicare section above. Each 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 Mirna Jadan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mirna Jadan was last updated on March 7, 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.
# Mirna Jadan, MD · NPI 1396368643
Family Medicine physician in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since May 21, 2020.
## Identity
- **NPI:** 1396368643 (Entity type: Individual)
- **Enumerated:** May 21, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301509024 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2370 E STADIUM BLVD # 2049, Ann Arbor, MI 48104-4811
- **Phone:** (650) 503-9990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Seasons Medical Group Of Michigan, PC (NPI 1841551074, Madison Heights, MI); Vpa PC (NPI 1245859446, Southfield, MI); Brian T. Gietzen, M. D., P. C. (NPI 1902023641, Rochester Hills, MI); Seasons Medical Group Of Indiana, PC (NPI 1861809451, Indianapolis, IN); Accentcare Medical Group Of Wisconsin, S.C. (NPI 1275976979, West Allis, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oakland Univ, William Beaumont School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** March 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396368643) · Data from the CMS NPPES public registry.