Active NPI
Jefferey E Michaelson, MD
- Orthopaedic Surgery Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4301066261
- 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.
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
MI, Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Novi, MI
- NPI 1306818331
MI, Orthopaedic Surgery
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- Rehabilitation Clinic/Center
- Dearborn, MI
- NPI 1306883848
-
- Physical Therapist
- Troy, MI
- NPI 1598440083
-
- Psychiatric Hospital Unit
- Southfield, MI
- NPI 1003892092
-
- Clinical Social Worker
- Southfield, MI
- NPI 1144285107
-
- Rehabilitation Hospital Unit
- Southfield, MI
- NPI 1255316584
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1851339196
-
- Endocrinology, Diabetes & Metabolism Physician
- Novi, MI
- NPI 1114133485
-
- Internal Medicine Physician
- Warren, MI
- NPI 1376644922
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
Hospital
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 GroupThe Porretta Center for Orthopaedic Surgery, PLLCDearborn Physical Therapy LTDHenry Ford Health Providence HospitalPremier Therapy Centers, Inc
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
- University of Michigan Health System
- Henry Ford Health St John Hospital
- Henry Ford Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.74 of 100
- Quality
- 76.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 89.75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 68 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 18 |
| Removal of tissue | 1-10 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301066261 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Porretta Center for Orthopaedic Surgery, PLLC | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| The Porretta Center for Orthopaedic Surgery, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Orthopaedic Surgery | Current | 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
- jmichaelson413790@direct.hfhs.org
- jmichaelson1141462@direct.hfhs.org
- jmichael2@direct.dmc.org
- jefferey.michaelson.1@22724.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4301066261 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4337650 | Medicaid | MI |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.