BLEDI HYSA MD
NPI 1992381768
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Bledi Hysa's NPI number?

The NPI number for Bledi Hysa is 1992381768. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Bledi Hysa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Bledi Hysa was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 22, 2021PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 205-7164 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Bledi Hysa Md NPPES

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

BLEDI HYSA MD (NPI 1992381768) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2020).

NPPES Registry Identity

NPI1992381768

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBLEDI HYSACredential: MD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753

Phone(517) 205-7164

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 2020

Enumeration DateMarch 22, 2021

NPPES CertifiedMarch 22, 2021

✔ NPI 1992381768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

205 N EAST AVE, Jackson, MI 49201

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bledi Hysa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749683910

PECOS Enrollment IDI20260312001998

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.

Medicare Billing Reassignment

Medicare enrollment records show Bledi Hysa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Affiliate Group Of New York PC

551 mi

Dietitian, Registered

506 LENOX AVE
New York, NY 10037

Reassigned Medicare billing, New York enrollment
2,094 clinicians in this Medicare group

NPI 1013375526 (212) 939-2467

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SAMANTHA RENE DANEK PA-C

Physician Assistant