JIRA G COUMARBATCH (MD) – Family Medicine Physician, NPI 1215974753
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for JIRA G COUMARBATCH (MD)
PO BOX 47068
OAK PARK, MI 482374768
Phone: (248) 443-6911
Fax: (248) 443-6594
Type: Mailing
23077 GREENFIELD RD STE 489
SOUTHFIELD, MI 480753740
Phone: (248) 395-6312
Fax: (248) 395-6314
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 $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Amgen Inc. ($35).
Total Amount
$128
General + Research + Ownership
Payments
7
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $35 |
| ABBVIE INC. | $24 |
| Dexcom, Inc. | $21 |
| Eisai Inc. | $17 |
| Otsuka America Pharmaceutical, Inc. | $16 |
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: 2005-02-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050201000509 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 155 | 64 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 112 | 62 | $0 |
| 81002 | Urinalysis, manual test | 85 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 46 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 47 | 47 | $0 |
Insurance plans in this area (ZIP 48237)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| H O S P I T A L I S T | MI | |
| - | MI | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | MI | |
| Internal Medicine, Infectious Disease | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| O P H T H A L M O L O G Y | PA |
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