NPIMap

Individual provider Active NPI

Jeffrey Charles Yeamans, MD

  • Urology Physician
  • Roseville, MI
National Provider Identifier
1124054614
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301087109 Issued in MI
Practice address
18325 10 Mile
Suite 200
Roseville, MI 48066
Phone
(586) 773-6300
Fax
(586) 773-6266
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301087109 MI Primary

Addresses

Primary practice location

18325 10 Mile
Suite 200
Roseville, MI 48066

Mailing address

18325 10 Mile
Suite 200
Roseville, MI 48066
Phone (586) 773-6300

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
I20060816000112 MI Practitioner - Urology 8224063557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Georgetown University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

18325 E 10 Mile Rd
Suite 200
Roseville, MI 48066-4990
Phone (586) 773-6300

27650 Dequindre Rd
Warren, MI 48092-2818

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

28565 Schoenherr Rd
Warren, MI 48088-4330
Phone (586) 619-0555

31157 Woodward Ave
Royal Oak, MI 48073-0996
Phone (248) 336-0123

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301087109MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Lucy Webb Hayes National Training School for Deaconsses & Missonaries Past Accepting new patients
Grosse Pointe Urologic Surgeons Urology Past Accepting new patients

Locations

37555 Garfield Rd
Ste 110
Clinton Twp, MI 48036
Phone (248) 336-3179

21510 Harrington St
Ste 301
Clinton Twp, MI 48036
Phone (586) 464-3661

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

18325 E 10 Mile Rd
Ste 200
Roseville, MI 48066
Phone (586) 773-6300

31157 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-2250

Interoperability endpoints

  • Direct secure messaging: jeffrey.yeamans.1@18740.direct.athenahealth.com
  • Direct secure messaging: jyeamans63341@direct.hfhs.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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 9

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1124054614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18325 10 MILE",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "48066",
            "telephone_number": "586-773-6300",
            "fax_number": "586-773-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18325 10 MILE",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "48066",
            "telephone_number": "586-773-6300",
            "fax_number": "586-773-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAMANS",
        "first_name": "JEFFREY",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301087109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.