Jaisy Jacob
Jaisy Jacob is a Diagnostic Radiology Physician in Detroit, MI, registered under NPI 1639468614. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 4100 JOHN R ST, Detroit, MI 48201. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4301107800 | MI | Body Imaging Physician |
| 4301107800 | MI | Diagnostic Radiology Physician primary |
This provider holds licence 4301107800 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Diagnostic Radiology
- PAC ID
- 2466765276
- Enrollment ID
- I20180822001806
Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Diagnostic Radiology covers
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085B0100X | Body Imaging Physician Body Imaging | 4301107800 | MI | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 4301107800 | MI | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1639468614 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 30, 2011 |
| Last updated | May 13, 2022 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Practice address |
4100 JOHN R ST Detroit, MI 48201 (313) 576-9900 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 3 | 9 | 4 | 6 | 8 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 6 | 9 | 8 | 6 | 7 | 6 | 2 |
Sum = 76 · next multiple of 10 = 80 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.