DR. JAYA SANKARAN MD
NPI 1821071796
Pathology - Anatomic Pathology & Clinical Pathology in Tawas City, MI
NPI Status: Active since November 23, 2005
Contact Information
200 HEMLOCK ST
TAWAS CITY, MI
ZIP 48763
Phone: (989) 362-3411
- Individual
- Female
- Pathology
- Anatomic Pathology & Clinical Pathology
- PECOS Enrolled
- Medicare Quality Reporting
About JAYA SANKARAN
This page provides the complete NPI Profile along with additional information for Jaya Sankaran, a provider established in Tawas City, Michigan with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1821071796 assigned on November 2005. The practitioner's primary taxonomy code is 207ZP0102X with license number 4301039073 (MI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1821071796
- Provider Name
- DR. JAYA SANKARAN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 HEMLOCK ST TAWAS CITY, MI 48763
- Location Phone
- (989) 362-3411
- Mailing Address
- 5700 SOUTHWYCK BLVD TOLEDO, OH 43614
- Mailing Phone
- (800) 288-8325
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-23-2005
- Last Update Date
- 05-05-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301039073
- License State
- MI
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
97960001 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | |
97960001 | MEDICARE PIN (08) | MI | |
N97960001 | MEDICARE PIN (08) | MI | |
B45813 | MEDICARE UPIN (02) | MI | |
P00081677 | MEDICARE PIN (08) |
Medicare Participation & PECOS Enrollment Status
Jaya Sankaran is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, moderately low complexity
Special stained specimen slides to examine tissue including interpretation and report
Special stained specimen slides to examine tissue, initial procedure
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 392 times for 222 patientsA pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
This service was performed 14 times for 13 patientsSpecial stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
This service was performed 27 times for 19 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 19 times for 18 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48763 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.15
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
Participation in Joint Commission Evaluation Initiative | Yes | N/A |
Participation in Joint Commission Ongoing Professional Practice Evaluation initiative | ||
Participation in MOC Part IV | Yes | N/A |
Participation in Maintenance of Certification (MOC) Part IV, such as the American Board of Internal Medicine (ABIM) Approved Quality Improvement (AQI) Program, National Cardiovascular Data Registry (NCDR) Clinical Quality Coach, Quality Practice Initiative Certification Program, American Board of Medical Specialties Practice Performance Improvement Module or ASA Simulation Education Network, for improving professional practice including participation in a local, regional or national outcomes registry or quality assessment program. Performance of monthly activities across practice to regularly assess performance in practice, by reviewing outcomes addressing identified areas for improvement and evaluating the results. | ||
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. |
Reviews for DR. JAYA SANKARAN MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 2 | 1 | 0 | 7 | 1 | 7 | 9 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 4 | 1 | 0 | 7 | 2 | 7 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 4 + 1 + 0 + 7 + 2 + 7 + 1 + 8 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1821071796 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1285618033 | JENNIFER L JONES DO Individual | Emergency Medicine (Emergency Medical Services) | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-0153 |
1972589356 | ANGELA CHEERS DO Individual | Emergency Medicine (Emergency Medical Services) | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-0153 |
1982681359 | JEFFREY HOLLADY MD Individual | Emergency Medicine (Emergency Medical Services) | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-0153 |
1629305354 | STACY MICHELLE SHOEN PHARMD Individual | Pharmacist | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-9466 |
1962775080 | ALCONA CITIZENS FOR HEALTH, INC Organization | Obstetrics & Gynecology (Obstetrics) | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 736-8157 |
1982914313 | MISS JAYNA LYNNAE AYRES NURSE PRACTITIONER Individual | Nurse Practitioner (Acute Care) | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-3411 |
1114900073 | TAWAS PATHOLOGISTS, PC Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-1047 |
1861909186 | NEAL MASON Individual | Nurse Anesthetist, Certified Registered | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-3411 |
1063496867 | GORDON KALO CRNA Individual | Nurse Anesthetist, Certified Registered | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-0153 |
1598749392 | SHERRY DONOVAN CRNA Individual | Nurse Anesthetist, Certified Registered | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-0153 |
1235724188 | LERINE PATRICIA MECHOUELA-TALOM Individual | Pharmacist | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-9466 |
1669499133 | DWIGHT FISKE PA-C, RN, AEMT Individual | Physician Assistant | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-3411 |
1356897409 | KYMBERLY SAMOTIS NP Individual | Nurse Practitioner (Acute Care) | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-9351 |
1700874542 | ROBERT L DONNELL MD Individual | Internal Medicine (Hematology & Oncology) | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-9433 |
1720017320 | KEITH LAWRENCE Individual | Nurse Anesthetist, Certified Registered | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-9405 |
1740018936 | SARAH POPPE Individual | Nurse Practitioner (Family) | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-3411 |
1194713461 | ASCENSION ST JOSEPH HOSPITAL Organization | General Acute Care Hospital | 200 HEMLOCK ST TAWAS CITY, MI 48763 (989) 362-3411 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821071796, enumerated in the NPI registry as an "individual" on November 23, 2005
The provider is located at 200 Hemlock St Tawas City, Mi 48763 and the phone number is (989) 362-3411
The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.15 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, moderately low complexity, Special stained specimen slides to examine tissue including interpretation and report and Special stained specimen slides to examine tissue, initial procedure.
This NPI record was last updated on November 23, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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