Doctor profile · Federal record

Dr. Thomas Jakubczak, CRNA

Certified Registered Nurse Anesthetist · Detroit, MI

  • NPI 1477561629
  • MIPS 90.0 / 100 · 2023
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3990 John R St
Detroit, MI 482012018
(952) 442-9770
Mailing address
Po Box 67000, Dept 203401
Detroit, MI 482670002

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
367500000X — NUCC code
State license (1)
Michigan #4704144957
Medicaid
MI #104300794

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1477561629. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
14
Distinct HCPCS
1
Medicare allowed
$1,216
HCPCS Description Services Patients Avg allowed
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 14 14 $87

In context: peer comparison

Among 83 peers in this city , average services per provider: 22. This provider delivers 0.6× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Thomas Jakubczak's medical specialty?
Dr. Thomas Jakubczak practices Certified Registered Nurse Anesthetist in Detroit, MI.
Where does Dr. Thomas Jakubczak practice?
Dr. Thomas Jakubczak practices at 3990 John R St, Detroit, MI 482012018. Office phone: 9524429770.
What is Dr. Thomas Jakubczak's NPI?
Dr. Thomas Jakubczak's National Provider Identifier (NPI) is 1477561629, issued by NPPES.
What procedures does Dr. Thomas Jakubczak commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.