DR. SHILPA JAIN M.D.
NPI 1477866572
Radiology - Diagnostic Radiology in Detroit, MI

Active since July 16, 2010PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 745-3433 Get Directions Write a Review

NPPES record last updated: June 14, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Shilpa Jain M.d. NPPES

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

DR. SHILPA JAIN M.D. (NPI 1477866572) is an individual diagnostic radiology provider in Detroit, Michigan, licensed in Michigan (4301096468) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1477866572
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SHILPA JAINCredential: M.D.
Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153
Mailing Address2171 Golfview DrTroy, MI 48084-3922 · (248) 885-8959
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 16, 2010
Last NPPES UpdateJune 14, 2015
NPI 1477866572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MI · 4301096468
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4201 SAINT ANTOINE ST, Detroit, MI 48201

Accepted 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

Dr. Shilpa Jain M.d. 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 ID8628373214
PECOS Enrollment IDI20160218002054
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 14

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
266 services227 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
144 services139 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
81 services80 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
71 services68 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
66 services63 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
60 services60 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230024
Location6071 W Outer DriveDetroit, MI 48235 · Wayne County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Huron Valley-Sinai Hospital

Acute Care Hospitals · Commerce Township, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230277
LocationOne William Carls DriveCommerce Township, MI 48382 · Oakland County
Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
32%361 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
77%22 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201

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 Shilpa Jain's NPI number?

The NPI number for Shilpa Jain is 1477866572. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Shilpa Jain located?

Shilpa Jain practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 745-3433.

What is Shilpa Jain's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Shilpa Jain enrolled in Medicare?

Yes. Shilpa Jain 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.

What insurance does Shilpa Jain accept?

Health plans from Priority Health list Shilpa Jain 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 Shilpa Jain affiliated with any hospitals?

According to CMS data, Shilpa Jain is affiliated with Sinai-Grace Hospital, Harper University Hospital, Detroit Receiving Hospital, Huron Valley-Sinai Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Shilpa Jain was last updated on June 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.