JACKSON CARDIOLOGY CONSULTANTS PLLC – NPI #1053970624
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Health Care Provider Taxonomy Code for Internal Medicine

JACKSON CARDIOLOGY CONSULTANTS PLLC is a provider located in JACKSON, MI. NPPES has assigned the NPI number 1053970624 to JACKSON CARDIOLOGY CONSULTANTS PLLC on June 07, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was last updated on Feb 18, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON CARDIOLOGY CONSULTANTS PLLC below.

NPI Profile for
JACKSON CARDIOLOGY CONSULTANTS PLLC

NPI Number
1053970624
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSON CARDIOLOGY CONSULTANTS PLLC
Primary location
205 PAGE AVE
JACKSON, MI 49201-2462
Phone: (517) 787-3577 Fax: (517) 787-4280
Mailing address
205 PAGE AVE STE B
JACKSON, MI 49201-2462
Phone: (517) 787-3577 Fax: (517) 787-4280
Organization Subpart
No
Authorized Official
TAREQ BAGHAL
OWNER
Phone: (517) 787-3577
Updated
Certification Date
Feb 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.