Individual provider Active NPI

Naman Jhaveri, MD

  • Infectious Disease Physician
  • Plymouth, MI
National Provider Identifier
1144603093
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301501904 Issued in MI
Practice address
15474 N Haggerty Rd
Plymouth, MI 48170-4893
Phone
(734) 335-6103
NPI assigned
Jul 9, 2015
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301501904 MI Primary

Addresses

Primary practice location

15474 N Haggerty Rd
Plymouth, MI 48170-4893

Mailing address

2600 Sixth St SW
Canton, OH 44710-1702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200813003500 MI Practitioner - Infectious Disease 9133429277 Reassigns benefits to 1 organization
I20231026000567 IL Practitioner - Infectious DiseasePractitioner - Internal Medicine 9133429277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

15474 N Haggerty Rd
Plymouth, MI 48170-4893
Phone (734) 335-6103

2919 W Addison St
Chicago, IL 60618-4635
Phone (877) 448-3627

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301501904MIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Infectious Disease Consultants, S.C. Single Specialty CurrentSince Oct 2, 2023 Accepting new patients
Metro Infectious Disease Consultants, LLC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Metro Infectious Disease Consultants LLC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients

Locations

400 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 226-8100

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

2919 W Addison St
Chicago, IL 60618
Phone (773) 205-4660

7900 N Milwaukee Ave
#231
Niles, IL 60714
Phone (847) 663-9400

7900 N Milwaukee Ave
Ste 231A
Niles, IL 60714
Phone (847) 663-9400

1300 Franklin Ave
Ste 230C
Normal, IL 61761
Phone (309) 585-6029

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

1231 Pine Grove Ave
Ste 1B
Port Huron, MI 48060
Phone (810) 984-8650

Interoperability endpoints

  • Direct secure messaging: njhaveri17987@uihealth.direct-ci.com

Organizations & group practices 3

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 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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1144603093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15474 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704893",
            "telephone_number": "734-335-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHAVERI",
        "first_name": "NAMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301501904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.