Individual provider Active NPI

Steven Leroy Jensen, MD

  • Urology Physician
  • Saginaw, MI
National Provider Identifier
1154314193
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301067565 Issued in MI
Practice address
1117 S Washington Ave
Saginaw, MI 48601-2558
Phone
(989) 791-4020
Fax
(989) 921-8765
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X SJ067565 MI
Urology Physician 208800000X 4301067565 MI Primary

Addresses

Primary practice location

1117 S Washington Ave
Saginaw, MI 48601-2558

Mailing address

1117 S Washington Ave
Saginaw, MI 48601-2558
Phone (989) 791-4020

Other practice location 1

2050 E Caro Rd
Caro, MI 48723-9320
Phone (989) 623-0369

Other practice location 2

600 N Main St
Frankenmuth, MI 48734-1152
Phone (989) 791-4020

Other practice location 3

4 Columbus Ave Ste 101
Bay City, MI 48708-6457
Phone (989) 895-2634

Other practice location 4

1115 S Van Dyke Rd
Bad Axe, MI 48413-9660
Phone (989) 623-0369

Other identifiers 8

IdentifierTypeStateIssuer
4153090MedicaidMI
4153080MedicaidMI
5377212OtherMIAETNA
M033277OtherMICHAMPUS
340019587OtherMITRICARE
340013817OtherMIRAILROAD MEDICARE
3J770113OtherMIHEALTHPLUS
340G310500OtherMIBLUE CROSS AND BLUE SHIEL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000737 MI Practitioner - Urology 4385647536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Utah School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-City Urology Associates PCGroup PAC ID 8729081963, 3 clinicians

Practice addresses (Care Compare)

1117 S Washington Ave
Saginaw, MI 48601-2558
Phone (989) 791-4020

4672 Hill St
Suite 4
Cass City, MI 48726-1028
Phone (989) 872-5582

600 N Main St
Suite 230
Frankenmuth, MI 48734-1152
Phone (989) 791-4020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301067565MIMDUrology Physician
SJ067565MIMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri City Urology Associates PC Urology CurrentSince Feb 15, 1997 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince May 30, 2020 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince May 30, 2020 Accepting new patients
McLaren Bay Region Past Accepting new patients

Locations

1115 S Van Dyke Rd
Ste 2
Bad Axe, MI 48413
Phone (989) 341-5078

1115 S Van Dyke Rd
Bad Axe, MI 48413
Phone (845) 300-7416

4 Columbus Ave
Ste 101
Bay City, MI 48708
Phone (989) 895-2634

4 Columbus Ave
Ste 130
Bay City, MI 48708
Phone (989) 895-2634

2050 E Caro Rd
Caro, MI 48723
Phone (989) 672-5001

4674 Hill St
Cass City, MI 48726
Phone (989) 872-4725

4672 Hill St
Ste 4
Cass City, MI 48726
Phone (989) 872-4442

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

600 N Main St
Ste 230
Frankenmuth, MI 48734
Phone (866) 593-2313

1117 S Washington Ave
Saginaw, MI 48601
Phone (989) 791-4020

Organizations & group practices 4

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 7

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1154314193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012558",
            "telephone_number": "989-791-4020",
            "fax_number": "989-921-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012558",
            "telephone_number": "989-791-4020",
            "fax_number": "989-921-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 E Caro Rd",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487239320",
            "country_code": "US",
            "telephone_number": "989-623-0369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Main St",
            "address_purpose": "LOCATION",
            "city": "Frankenmuth",
            "state": "MI",
            "postal_code": "487341152",
            "country_code": "US",
            "telephone_number": "989-791-4020",
            "fax_number": "989-791-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Columbus Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487086457",
            "country_code": "US",
            "telephone_number": "989-895-2634",
            "fax_number": "989-895-2636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 S Van Dyke Rd",
            "address_purpose": "LOCATION",
            "city": "Bad Axe",
            "state": "MI",
            "postal_code": "484139660",
            "country_code": "US",
            "telephone_number": "989-623-0369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "STEVEN",
        "middle_name": "LEROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "MI",
            "license": "SJ067565",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301067565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4153090",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4153080",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5377212",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "M033277",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "340019587",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340013817",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "3J770113",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "340G310500",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.