Sallu Jabati, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Kentwood, Michigan. His current practice location is
2080 44th St Se Ste 120, Kentwood, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 500-0977.
Sallu Jabati is licensed to practice in Michigan (license number 4301510992) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184185498.
Physician's Profile
Full Name | Sallu Jabati |
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Gender | Male |
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Speciality | Anesthesiology - Pain Medicine |
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Location | 2080 44th St Se Ste 120, Kentwood, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184185498
- Provider Enumeration Date: 03/28/2019
- Last Update Date: 07/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547621682
- Enrollment ID: I20230808001296
Medical Identifiers
Medical identifiers for Sallu Jabati such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184185498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 4301510992 (Michigan) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 4301510992 (Michigan) | Primary |
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. Sallu Jabati allows following entities to bill medicare on his behalf.
Entity Name | Loyola Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
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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. Sallu Jabati 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 Address | Practice Location Address |
Sallu Jabati, MD 2080 44th St Se Ste 120, Kentwood, MI 49508-5299 Ph: (616) 500-0977 | Sallu Jabati, MD 2080 44th St Se Ste 120, Kentwood, MI 49508-5299 Ph: (616) 500-0977 |
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