Individual provider Active NPI

Jodi R. Galdes, M.D.

  • Emergency Medicine Physician
  • Livonia, MI
National Provider Identifier
1053331983
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301071756 Issued in MI
Practice address
36475 5 Mile Rd
Medical Staff Office
Livonia, MI 48154-1971
Phone
(734) 655-1200
Fax
(734) 655-1270
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301071756 MI Primary

Addresses

Primary practice location

36475 5 Mile Rd
Medical Staff Office
Livonia, MI 48154-1971

Mailing address

36475 5 Mile Rd
Emergency Dept.
Livonia, MI 48154-1971
Phone (734) 655-1200

Other identifiers 1

IdentifierTypeStateIssuer
4321140MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgaldes23929@direct-trinity-health.org Direct

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
I20080516000466 MI Practitioner - Emergency Medicine 3971672981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epmg of Michigan PC 108 clinicians

Practice addresses (Care Compare)

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (954) 939-5000

775 S Main St
Chelsea, MI 48118-1383
Phone (954) 939-5000

Hospital & facility affiliations

  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Oct 1, 2010 Accepting new patients

Locations

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

36475 5 Mile Rd
Ofc
Livonia, MI 48154
Phone (734) 655-1200

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

Organizations & group practices 1

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 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1053331983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36475 5 MILE RD",
            "address_2": "EMERGENCY DEPT.",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-1200",
            "fax_number": "734-655-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 5 MILE RD",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-1200",
            "fax_number": "734-655-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALDES",
        "first_name": "JODI",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301071756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4321140",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgaldes23929@direct-trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "livonia",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "36475 5 Mile Rd",
            "address_2": "Medical Staff Office",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481541971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.