Active NPI
Jake Katzman, DO
- Neurology Physician
- Dearborn Heights, MI
National Provider Identifier
1104448372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 5151014315
- Practice address
- 25150 Ford Rd Ste 100
Dearborn Heights, MI 48127-3163 - Phone
- (248) 553-0010
- Fax
- (248) 553-5957
- NPI assigned
- May 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 5151014315 | MI | Primary |
Addresses
Primary practice location
25150 Ford Rd Ste 100
Dearborn Heights, MI 48127-3163
Mailing address
28595 Orchard Lake Rd Ste 200
Farmington Hills, MI 48334-2979
Phone (248) 553-0010
Other practice location 1
7957 N Wayne Rd
Westland, MI 48185-1109
Phone (248) 553-0010
Other practice location 2
28595 Orchard Lake Rd Ste 200
Farmington Hills, MI 48334-2979
Phone (248) 553-0010
Other practice location 3
14750 King Rd
Riverview, MI 48193-7973
Phone (248) 553-0010
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
- Neurology
- Education
- Michigan State University College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28595 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48334-2979
Phone (248) 553-0010
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Dearborn
- Beaumont Hospital - Farmington Hills
- Corewell Health Wayne Hospital
- Garden City Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.34 of 100
- Quality
- 75.8
- Improvement activities
- 40
- Cost
- 84.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Aas LLC | Current | Accepting new patients | |
| Glendale Neurological Associates P C | Neurology | Current | Accepting new patients |
Locations
25150 Ford Rd
Ste 100
Dearborn Heights, MI 48127
Phone (734) 309-9976
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
14750 King Rd
Riverview, MI 48193
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1697
- jkatzman823759@direct.hfhs.org
Organizations & group practices 2
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.
-
- Neurology Physician
- Farmington Hills, MI
- NPI 1639134414
-
- Anesthesiology Physician
- Novi, MI
- NPI 1295149227
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Garden City, MI
- NPI 1043625940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1104448372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28595 ORCHARD LAKE RD STE 200",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342979",
"telephone_number": "248-553-0010",
"fax_number": "248-553-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25150 FORD RD STE 100",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481273163",
"telephone_number": "248-553-0010",
"fax_number": "248-553-5957"
}
],
"practiceLocations": [
{
"address_1": "7957 N Wayne Rd",
"address_purpose": "LOCATION",
"city": "Westland",
"state": "MI",
"postal_code": "481851109",
"country_code": "US",
"telephone_number": "248-553-0010",
"fax_number": "248-553-5957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "28595 Orchard Lake Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483342979",
"country_code": "US",
"telephone_number": "248-553-0010",
"fax_number": "248-553-5957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14750 King Rd",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "MI",
"postal_code": "481937973",
"country_code": "US",
"telephone_number": "248-553-0010",
"fax_number": "248-553-5957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATZMAN",
"first_name": "JAKE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-11",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "5151014315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.