JAISY JACOB
NPI 1639468614
Radiology - Diagnostic Radiology in Detroit, MI

Q: What is Jaisy Jacob's NPI number?

The NPI number for Jaisy Jacob is 1639468614. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Q: What is Jaisy Jacob's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaisy Jacob was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 30, 2011PECOS EnrolledAccepts Medicare Assignment

4100 JOHN R ST, DETROIT, MI 48201(313) 576-9900 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2022, May 15, 2020, Jul 3, 2018 (3 updates tracked since 2018).

On this page

About Jaisy Jacob NPPES

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

JAISY JACOB (NPI 1639468614) is an individual diagnostic radiology provider in Detroit, Michigan, licensed in Michigan (4301107800) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1639468614

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameJAISY JACOB

Location Address4100 JOHN R STDetroit, MI 48201-2013

Mailing Address4100 John R StDetroit, MI 48201-2013 · (313) 576-9900

Phone(313) 576-9900

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 30, 2011

Last NPPES UpdateMay 13, 20223 updates tracked since enumeration

NPPES CertifiedMay 13, 2022

✔ NPI 1639468614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MI · 4301107800

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 4301107800 (MI)

4100 JOHN R ST, Detroit, MI 48201

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Secondary Practice Location 1

Location 13601 W 13 Mile RdRoyal Oak, MI 48073 · Phone (248) 898-6031

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, 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

Jaisy Jacob 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 ID2466765276

PECOS Enrollment IDI20180822001806

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 13

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.

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

234 services234 patients

Screening mammography 77067

232 services232 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

231 services231 patients

Screening 3d breast mammography 77063

208 services208 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

116 services111 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

91 services86 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

73 services71 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

52 services52 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

19 services19 patients

Diagnostic mammography of 1 breast 77065

18 services18 patients

Limited ultrasound scan of 1 breast 76642

14 services14 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

11 services11 patients

Diagnostic mammography of both breasts 77066

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230047

Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County

Emergency services Birthing friendly

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

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230146

Location2333 Biddle AveWyandotte, MI 48192 · Wayne County

Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230302

Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County

Emergency services Birthing friendly

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.

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.

BARBARA ANN KARMANOS CANCER HOSPITAL

Pharmacy (Community/Retail Pharmacy)

4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201

Wayne County (313) 576-9350

BARBARA ANN KARMANOS CANCER CENTER

General Acute Care Hospital