JACOB SAIED GHANNAM JR. MD
NPI 1629631213
Radiology - Diagnostic Radiology in Royal Oak, MI
About Jacob Saied Ghannam Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB SAIED GHANNAM JR. MD (NPI 1629631213) is an individual diagnostic radiology provider in Royal Oak, Michigan, licensed in Michigan (4301505324) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Central Michigan College Of Medicine (2019).
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
Jacob Saied Ghannam Jr. Md 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 Reassignments
3Medicare enrollment records show Jacob Ghannam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 946 clinicians in this Medicare group
Ann Arbor, MI 48109
- Reassigned Medicare billing, Michigan enrollment
- 2,377 clinicians in this Medicare group
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 685 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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Grosse Pointe
Acute Care Hospitals · Grosse Pointe, MIBeaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIBeaumont Hospital - Farmington Hills
Acute Care Hospitals · Farmington Hills, MIBeaumont Hospital, Troy
Acute Care Hospitals · Troy, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48073 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.
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
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 Jacob Ghannam's NPI number?
The NPI number for Jacob Ghannam is 1629631213. It was assigned to this individual provider in the NPPES registry on April 18, 2019.
Where is Jacob Ghannam located?
Jacob Ghannam practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-5000.
What is Jacob Ghannam's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jacob Ghannam enrolled in Medicare?
Yes. Jacob Ghannam 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 organizations bill Medicare for Jacob Ghannam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Ghannam reassigns Medicare benefits to 3 organizations: Beaumont Medical Group Hospital -Based Services (Royal Oak, MI), Regents Of The University Of Michigan (Ann Arbor, MI) and Metropolitan Hospital (Grand Rapids, MI). 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 Jacob Ghannam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Ghannam accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jacob Ghannam 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 Jacob Ghannam affiliated with any hospitals?
According to CMS data, Jacob Ghannam is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak, Beaumont Hospital - Farmington Hills and Beaumont Hospital, Troy.
When was this NPI record last updated?
The NPPES record for Jacob Ghannam was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jacob Saied Ghannam Jr., MD · NPI 1629631213
Diagnostic Radiology physician in Royal Oak, Michigan. Individual provider, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1629631213 (Entity type: Individual)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 4301505324 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 W 13 MILE RD, Royal Oak, MI 48073-6712
- **Phone:** (248) 898-5000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Beaumont Medical Group Hospital -Based Services (NPI 1427567858, Royal Oak, MI); Regents Of The University Of Michigan (NPI 1013352046, Ann Arbor, MI); Metropolitan Hospital (NPI 1720590961, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Central Michigan College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** August 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629631213) · Data from the CMS NPPES public registry.