Individual provider Active NPI

Jefferey E Michaelson, MD

  • Orthopaedic Surgery Physician
  • Southfield, MI
National Provider Identifier
1003886342
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301066261 Issued in MI
Practice address
22250 Providence Dr
Suite 401
Southfield, MI 48075-4825
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Semi Medical Group 246 clinicians
The Porretta Center for Orthopaedic Surgery, PLLC 22 clinicians
Dearborn Physical Therapy LTD 97 clinicians
Henry Ford Health Providence Hospital 364 clinicians
Premier Therapy Centers, Inc 140 clinicians

Practice addresses (Care Compare)

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

22250 Providence Dr
Suite 401
Southfield, MI 48075-6212
Phone (248) 563-0306

23852 Michigan Ave
Dearborn, MI 48124-1829

26850 Providence Pkwy
Suite 260
Novi, MI 48374-1256
Phone (248) 465-5140

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as individual
Quality
76.06
Promoting interoperability
100
Improvement activities
40
Cost
89.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement68
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)18
Removal of tissue1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100105000570 MI Practitioner - Orthopedic Surgery 8729171400 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301066261MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Porretta Center for Orthopaedic Surgery, PLLC CurrentSince Aug 13, 2001 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jul 7, 2025 Accepting new patients
The Porretta Center for Orthopaedic Surgery, PLLC Orthopaedic Surgery CurrentSince Aug 13, 2001 Accepting new patients
Henry Ford Health Providence Hospital Orthopaedic Surgery CurrentSince Jul 7, 2025 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Medical X-Ray Consultants, LTD Past Accepting new patients
DMC Orthopedic Billing Associates LLC Orthopaedic Surgery Past Accepting new patients

Locations

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

1225 S Latson Rd
Ste 130
Howell, MI 48843
Phone (517) 338-2360

26750 Providence Pkwy
Ste 200
Novi, MI 48374
Phone (248) 349-7015

26850 Providence Pkwy
Ste 260
Novi, MI 48374
Phone (248) 465-5140

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22250 Providence Dr
Ste 401
Southfield, MI 48075
Phone (248) 349-7015

22250 Providence Dr
Ste 40
Southfield, MI 48075
Phone (248) 563-0306

Interoperability endpoints

  • Direct secure messaging: jmichaelson413790@direct.hfhs.org
  • Direct secure messaging: jmichaelson1141462@direct.hfhs.org
  • Direct secure messaging: jmichael2@direct.dmc.org
  • Direct secure messaging: jefferey.michaelson.1@22724.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301066261 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

22250 Providence Dr
Suite 401
Southfield, MI 48075-4825

Mailing address

18444 N 25TH Ave
Ste 310
Phoenix, AZ 85023-1261
Phone (866) 974-2673

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4337650MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 17, 2014.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1003886342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE",
            "address_2": "STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231261",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 401",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "JEFFEREY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301066261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4337650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.