Individual provider Active NPI

Desmond Alexander Jackson, M.D.

  • Rheumatology Physician
  • Waterford, MI
National Provider Identifier
1043650765
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301103154 Issued in MI
Practice address
5210 Highland Rd Ste 201
Waterford, MI 48327-1970
Phone
(248) 674-2259
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 4301103154 MI Primary
Internal Medicine Physician 207R00000X 57.027945 OH

Addresses

Primary practice location

5210 Highland Rd Ste 201
Waterford, MI 48327-1970

Mailing address

5210 Highland Rd Ste 201
Waterford, MI 48327-1970
Phone (248) 674-2259

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
I20181020000093 MI Practitioner - Rheumatology 2961755947 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

32901 23 Mile Rd
Suite 120
Chesterfield, MI 48047-4032
Phone (586) 725-4604

501 S Drake Rd
Bronson Rheumatology Specialists Drake Ro
Kalamazoo, MI 49009-3234
Phone (269) 308-7001

5210 Highland Rd
Suite 200
Waterford, MI 48327-1970
Phone (248) 625-9099

Hospital & facility affiliations

  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Bronson Lakeview Hospital Hospital, Paw Paw, MI, CCN 231332
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.027945OHMDInternal Medicine Physician
4301103154MIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital CurrentSince May 1, 2023 Accepting new patients
McLaren Medical Group Internal Medicine CurrentSince Jun 10, 2025 Accepting new patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Ascension Medical Group Promed Internal Medicine CurrentSince Sep 8, 2018 Accepting new patients
Bronson Battle Creek Hospital Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Bronson Battle Creek Hospital CurrentSince May 1, 2023 Accepting new patients
Promed Healthcare CurrentSince Sep 8, 2018 Accepting new patients
McLaren Medical Group CurrentSince Jun 10, 2025 Accepting new patients
McLaren Medical Group Internal Medicine Past Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

363 Fremont St
Ste 208
Battle Creek, MI 49017
Phone (269) 245-8310

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

501 S Drake Rd
Kalamazoo, MI 49009
Phone (269) 308-7001

601 John St
Ste M-030
Kalamazoo, MI 49007
Phone (269) 343-3939

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1043650765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 HIGHLAND RD STE 201",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271970",
            "telephone_number": "248-674-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 HIGHLAND RD STE 201",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271970",
            "telephone_number": "248-674-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DESMOND",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301103154",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.027945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.