OrganizationActive
Jackson Heart PLLC
NPI 1164353009 · Interventional Cardiology Physician · Jackson, MI
Provider details
- NPI number
- 1164353009
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Husam Shadid, Physician Owner(310) 745-6830
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-4800
Street-level locationGet directions
Mailing address
1940 Fountain View Dr # 1282
Houston, TX 77057-3206
Registry dates
- Enumerated
- 2026-05-28
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.