Dr Jay Pradhan, MD - Medicare Cardiovascular Disease (cardiology) in Rochester Hills, MI

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Dr Jay Pradhan, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Rochester Hills, Michigan. He graduated from medical school in 1990 and has 35 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Ascension Providence Rochester Hospital, Heart And Vascular Care Pc and his current practice location is 75 Barclay Cir, Suite 230, Rochester Hills, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 246-1127.

Dr Jay Pradhan is licensed to practice in Michigan (license number JP071846) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790755049.

Contact Information

Dr Jay Pradhan, MD
75 Barclay Cir, Suite 230,
Rochester Hills, MI 48307-5820
(248) 246-1127
(248) 246-0704

Map and Direction




Physician's Profile

Full NameDr Jay Pradhan
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience35 Years
Location75 Barclay Cir, Rochester Hills, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jay Pradhan graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1790755049
  • Provider Enumeration Date: 01/26/2006
  • Last Update Date: 09/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2466413398
  • Enrollment ID: I20041022001106

Medical Identifiers

Medical identifiers for Dr Jay Pradhan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790755049NPI-NPPES
0P01030OtherMIMEDICARE GROUP NUMBER
1108297492OtherMIBCBS NUMBERS
4449674MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease JP071846 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital, TroyTroy, MIHospital
Ascension Providence - Crittenton Hospital Medical CenterRochester, MIHospital
Beaumont Hospital Royal OakRoyal oak, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Providence Rochester Hospital882099409889
Heart And Vascular Care Pc95373242312

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jay Pradhan allows following entities to bill medicare on his behalf.
Entity NameMichigan Kidney Consultants, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831130723
PECOS PAC ID: 1052207115
Enrollment ID: O20040225000631
Entity NameAscension Providence Rochester Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437272523
PECOS PAC ID: 8820994098
Enrollment ID: O20040316000704
Entity NameHeart And Vascular Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689940397
PECOS PAC ID: 9537324231
Enrollment ID: O20120703000036
Entity NameAccess And Vascular Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831520212
PECOS PAC ID: 8628200987
Enrollment ID: O20140421000837
Entity NameBeaumont Medical Group- Specialty Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578072906
PECOS PAC ID: 7214299866
Enrollment ID: O20180320002549

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jay Pradhan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jay Pradhan, MD
75 Barclay Cir, Suite 230,
Rochester Hills, MI 48307-5820

Ph: (248) 246-1127		Dr Jay Pradhan, MD
75 Barclay Cir, Suite 230,
Rochester Hills, MI 48307-5820

Ph: (248) 246-1127

Reviews and Comments


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Dr. Freeha Khan, M.D.
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Dr. Todd M Hachigian, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.