SALLU JABATI (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1184185498
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,716 ANESTHESIOLOGY in MI
Provider Addresses for SALLU JABATI (MD)
3333 Evergreen Dr NE
Grand Rapids, MI 495259493
Phone: (616) 364-4200
Fax: (616) 364-7347
Type: Location
200 Jefferson Ave SE
Grand Rapids, MI 495034502
Phone: (616) 685-5000
Type: Location
1500 E Sherman Blvd
Muskegon, MI 494441849
Phone: (231) 672-2000
Type: Location
1309 Sheldon Rd
Grand Haven, MI 494172404
Phone: (231) 672-2000
Type: Location
2080 44TH ST SE STE 120
KENTWOOD, MI 495085299
Phone: (616) 500-0977
Type: Mailing
Advocate Illinois Masonic Hospital, 836, West Wellington Avenue, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States
CHICAGO, IL 606575147
Phone: (773) 975-1600
Type: Mailing
100 Michigan St NE
Grand Rapids, MI 495032560
Phone: (616) 364-4200
Fax: (616) 364-7347
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $412.
Total Amount is formed as General ($412) + Research ($0) + Ownership ($0) = $412.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Boston Scientific Corporation ($291).
Total Amount
$412
General + Research + Ownership
Payments
7
Total payment records
General Amount
$412
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $291 |
| Nevro Corp. | $97 |
| Averitas Pharma Inc. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230808001296 | I | Anesthesiology | IL | TBD |
| I20240925003881 | I | Anesthesiology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49525)
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Reviews
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