Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jaisy Jacob

Individual provider Body Imaging Physician · NPI 1639468614

Jaisy Jacob practises Diagnostic Radiology in Detroit, Michigan. Qualified in 2011, 15 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

4100 John R St
Detroit, MI 48201-2013
Phone: (313) 576-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073 — (248) 898-6031

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301107800 (MI)
Body Imaging Physician Taxonomy 2085B0100X · Licence 4301107800 (MI)

Record details

NPI number1639468614
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2011
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients664
Services billed 1,383 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Henry Ford Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2540 clinicians in the practice; 12 are shown here.

Other providers in Detroit