Individual provider Active NPI

Jason Bernard James Kurek, DPM

  • Podiatrist
  • Southfield, MI
National Provider Identifier
1104865476
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001753 Issued in MI
Practice address
17515 West 9 Mile Rd
Suite 340
Southfield, MI 48075
Phone
(248) 569-4000
Fax
(248) 569-5771
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901001753 MI Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 5901001753 MI

Addresses

Primary practice location

17515 West 9 Mile Rd
Suite 340
Southfield, MI 48075

Mailing address

17515 W 9 Mile Rd
Suite 340
Southfield, MI 48075-4403
Phone (248) 569-4000

Other identifiers 3

IdentifierTypeStateIssuer
480F37288OtherMIBLUE CROSS BLUE SHIELD
3258640MedicaidMI
480023791OtherMIRAILROAD MEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060413000583 MI Practitioner - Podiatry 9436168705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

14500 Hall Rd
Sterling Heights, MI 48313-1229
Phone (586) 247-2700

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2000

29200 Schoolcraft Rd
Livonia, MI 48150-2228
Phone (734) 523-1050

3500 15 Mile Rd
Sterling Heights, MI 48310-5353
Phone (586) 977-9300

7800 W Outer Dr
Detroit, MI 48235-3461
Phone (313) 543-6200

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue96
Removal of skin lesions1-10
Removal of nail tissue1001
Removal or shaving of skin growth346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001753MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System Podiatrist CurrentSince Apr 1, 1999 Accepting new patients
Henry Ford Health System CurrentSince Apr 1, 1999 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients
Jeffrey Danto DPM Podiatrist Past Accepting new patients

Locations

7445 Allen Rd
Ste 280
Allen Park, MI 48101
Phone (248) 569-2695

7800 W Outer Dr
Detroit, MI 48235
Phone (313) 387-8800

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

9100 Brombach St
Hamtramck, MI 48212
Phone (313) 972-9000

14500 Hall Rd
Sterling Hts, MI 48313
Phone (586) 247-2700

Interoperability endpoints

  • FHIR API: https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jkurek13061@direct.hfhs.org

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.

Hospital & facility affiliations 3

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1104865476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD",
            "address_2": "SUITE 340",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754403",
            "telephone_number": "248-569-4000",
            "fax_number": "248-569-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 WEST 9 MILE RD",
            "address_2": "SUITE 340",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-569-4000",
            "fax_number": "248-569-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUREK",
        "first_name": "JASON",
        "middle_name": "BERNARD JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001753",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901001753",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "480F37288",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3258640",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480023791",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.