Jackson Heart PLLC
NPI 1164353009ActiveOrganization· Internal Medicine, Interventional Cardiology· Jackson, MI
Internal Medicine, Interventional Cardiology in Jackson, Michigan, registered in NPPES in May 2026. The authorized official on file is Husam Shadid, MD, Physician Owner.
Overview
| NPI | 1164353009 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2026 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Interventional Cardiology Primary | 207RI0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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