NPIMap

Individual provider Active NPI

Jolian Sam Kathawa, D.O.

  • Gastroenterology Physician
  • Farmington, MI
National Provider Identifier
1083065916
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5101022774 Issued in MI
Practice address
23133 Orchard Lake Rd Ste 200
Farmington, MI 48336-3279
Phone
(248) 579-9220
Fax
(248) 426-7350
NPI assigned
Jun 22, 2016
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5101022774 MI Primary

Addresses

Primary practice location

23133 Orchard Lake Rd Ste 200
Farmington, MI 48336-3279

Mailing address

23133 Orchard Lake Rd Ste 200
Farmington, MI 48336-3279
Phone (248) 579-9220

Other practice location 1

1 William Carls Dr Ste 220
Commerce Twp, MI 48382-2201
Phone (248) 579-9220

Other practice location 2

27301 Dequindre Rd Ste 314
Madison Heights, MI 48071-3459
Phone (248) 579-9220

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
I20200424001012 MI Practitioner - Internal MedicinePractitioner - Gastroenterology 7416248216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Oakland Gastroenterology Associates PCGroup PAC ID 3274578661, 6 clinicians

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 579-9220

23133 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48336-3279
Phone (248) 579-9220

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 471-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.19 of 100Reported as group
Quality
94.97
Promoting interoperability
100
Improvement activities
40
Cost
86.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy183
Upper gastrointestinal (GI) endoscopy for acid reflux175

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Oakland Gastroenterology Associates PC Gastroenterology CurrentSince Jul 1, 2022 Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

1 William Carls Dr
Ste 220
Commerce Twp, MI 48382
Phone (248) 579-9220

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

27301 Dequindre Rd
Ste 314
Madison Hts, MI 48071
Phone (248) 399-4400

Interoperability endpoints

  • Direct secure messaging: jkathawa355124@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1083065916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363279",
            "telephone_number": "248-579-9220",
            "fax_number": "248-426-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363279",
            "telephone_number": "248-579-9220",
            "fax_number": "248-426-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 William Carls Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Commerce Twp",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "248-579-9220",
            "fax_number": "248-426-7350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27301 Dequindre Rd Ste 314",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480713459",
            "country_code": "US",
            "telephone_number": "248-579-9220",
            "fax_number": "248-426-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATHAWA",
        "first_name": "JOLIAN",
        "middle_name": "SAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101022774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.