Active NPI
Jeffrey Alan Rochlen, M.D.
- Internal Medicine Physician
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301070068
- Practice address
- 950 N Main St
Royal Oak, MI 48067-1840 - Phone
- (248) 543-8111
- Fax
- (248) 543-8120
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301070068 | MI | |
| Internal Medicine Physician | 207R00000X | 4301070068 | MI | Primary |
Addresses
Primary practice location
950 N Main St
Royal Oak, MI 48067-1840
Mailing address
26901 Beaumont Blvd # 3D
Southfield, MI 48033-3849
Phone (947) 522-1952
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11287110 | Other | CAQH PROVIDER ID # | |
| 38-2482550 | Other | COMMERCIAL ID # | |
| G07355 | Other | MI | BCN PROVIDER GROUP # |
| 700F372040 | Other | MI | BCBS PROVIDER GROUP # |
| 10-4412899 | Medicaid | MI | |
| JR070068 | Other | MI | STATE LICENSE # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JROCHLEN9566@DIRECT.BEAUMONT.EDU |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 436-2898
Hospital & facility affiliations
- Beaumont Home Health
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Ambulatory LLC | Internal Medicine | Current | Accepting new patients |
| William Beaumont Hospital | Current | Accepting new patients | |
| William Beaumont Hospital | Current | Accepting new patients | |
| William Beaumont Hospital | Current | Accepting new patients | |
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| William Beaumont Hospital | Past | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
950 N Main St
Royal Oak, MI 48067
Phone (248) 543-8111
26901 Beaumont Blvd
#3D
Southfield, MI 48033
30503 Greenfield Rd
Southfield, MI 48076
Phone (248) 691-4732
Interoperability endpoints
- jrochlen9566@direct.beaumont.edu
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1003829441
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1083833875
-
- Podiatrist
- Westland, MI
- NPI 1013157361
-
- Family Medicine Physician
- Royal Oak, MI
- NPI 1326097148
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- Physician Assistant
- Royal Oak, MI
- NPI 1164471983
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1093746208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD # 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1952",
"fax_number": "947-522-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N MAIN ST",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671840",
"telephone_number": "248-543-8111",
"fax_number": "248-543-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHLEN",
"first_name": "JEFFREY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301070068",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301070068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID #",
"identifier": "11287110",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL ID #",
"identifier": "38-2482550",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN PROVIDER GROUP #",
"identifier": "G07355",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER GROUP #",
"identifier": "700F372040",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10-4412899",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "JR070068",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JROCHLEN9566@DIRECT.BEAUMONT.EDU",
"affiliation": "N",
"address_1": "950 N Main St",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480671840",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.