Jay G. Shake, MD
NPI 1215967500ActiveIndividual· Thoracic Surgery (Cardiothoracic Vascular Surgery)· Jackson, MS
Thoracic Surgery (Cardiothoracic Vascular Surgery) (MD) in Jackson, Mississippi, trained at University of Minnesota Medical School (class of 1997). Medicare paid $26,833 for services to 50 patients in 2024.
Overview
| NPI | 1215967500 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 3, 2006 |
| Last updated in NPPES | May 12, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary | 208G00000X | 23449 | MS |
| Surgery, Vascular Surgery | 2086S0129X | 102316 | MN |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | N8723 | TX |
| Internal Medicine, Critical Care Medicine | 207RC0200X | N8723 | TX |
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) | Enrolled Practitioner - Thoracic Surgery (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 178 across 7 procedure codes |
| Paid by Medicare | $26,833 |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Thoracic Surgery |
| Secondary specialties | General Surgery |
Medical group
- State of Mississippi - University of Mississippi Medical CenterJackson, MS · 965 clinicians
Hospital affiliation
- University of Mississippi Med CenterJackson, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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