NPIMap

Individual provider Active NPI

Jeffrey Michael Gutman, DO

  • Nephrology Physician
  • Allen Park, MI
National Provider Identifier
1013077866
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5101016246 Issued in MI
Practice address
16407 Southfield Rd
Allen Park, MI 48101
Phone
(313) 271-3000
Fax
(313) 271-3003
NPI assigned
Dec 11, 2006
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 5101016246 MI Primary
Nephrology Physician 207RN0300X 005280 AZ

Addresses

Primary practice location

16407 Southfield Rd
Allen Park, MI 48101

Mailing address

16407 Southfield Rd Ste a
Allen Park, MI 48101-2571
Phone (313) 271-3000

Other practice location 1

16407 Southfield Rd
Allen Park, MI 48101
Phone (313) 271-3000

Other practice location 2

14752 Northline Rd
Southgate, MI 48195-2698
Phone (734) 285-5030

Other identifiers 1

IdentifierTypeStateIssuer
450852MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000585 MI Practitioner - NephrologyPractitioner - Internal Medicine 9436258001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Hypertension Clinic PCGroup PAC ID 5193719375, 5 clinicians

Practice addresses (Care Compare)

14752 Northline Rd
Southgate, MI 48195-2698
Phone (734) 285-5030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005280AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Hypertension Clinic, PC Nephrology CurrentSince Jan 25, 2012 Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients
Nephrology Hypertension Clinic PC Nephrology Past Accepting new patients
Southwest Kidney Institute, PLC Nephrology Past Accepting new patients

Locations

16407 Southfield Rd
Ste A
Allen Park, MI 48101
Phone (313) 271-3000

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

18100 Oakwood Blvd
Ste 207
Dearborn, MI 48124
Phone (313) 271-3000

14752 Northline Rd
Southgate, MI 48195
Phone (734) 285-5030

5715 N Venoy Rd
Westland, MI 48185
Phone (734) 261-9418

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJFBBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJFBBA/Endpoint/AJFBBA
  • Direct secure messaging: jgutman58723@direct.hfhs.org

Organizations & group practices 4

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

Hospital & facility affiliations 11

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1013077866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16407 SOUTHFIELD RD STE A",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012571",
            "telephone_number": "313-271-3000",
            "fax_number": "313-271-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16407 SOUTHFIELD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "48101",
            "telephone_number": "313-271-3000",
            "fax_number": "313-271-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16407 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "48101",
            "country_code": "US",
            "telephone_number": "313-271-3000",
            "fax_number": "313-271-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14752 Northline Rd",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952698",
            "country_code": "US",
            "telephone_number": "734-285-5030",
            "fax_number": "734-285-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTMAN",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "5101016246",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "005280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450852",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

Verify at the official NPI Registry.