Active NPI
Jonathan D Herschman, M.D.
- Urology Physician
- Adrian, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4301075936
- Practice address
- 777 Kimole LN Ste 260
Adrian, MI 49221-1400 - Phone
- (517) 265-4770
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4301075936 | MI | Primary |
Addresses
Primary practice location
777 Kimole LN Ste 260
Adrian, MI 49221-1400
Mailing address
1 Seagate # 800
Toledo, OH 43604-1558
Other practice location 1
5333 McAuley Dr
Ste 6110
Ypsilanti, MI 48197-1014
Phone (734) 434-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104276189 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jherschman25191@epicdirect.promedica.org |
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
- Urology
- Education
- Wayne State University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 E Russell Rd
Unit C
Tecumseh, MI 49286-2072
Phone (517) 263-9491
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491
777 Kimole LN
Adrian, MI 49221-1400
Hospital & facility affiliations
- Promedica Charles and Virginia Hickman Hospital
- Promedica Toledo Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Corporation of Michigan | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Urology | Current | Accepting new patients |
| Michigan Multispecialty Physicians, P.C. | Urology | Past | Accepting new patients |
Locations
777 Kimole Ln
Ste 230
Adrian, MI 49221
Phone (517) 263-5655
777 Kimole Ln
Ste 260
Adrian, MI 49221
Phone (419) 479-2650
16507 Southfield Rd
Allen Park, MI 48101
Phone (313) 389-0648
7575 Grand River Rd
Ste 202
Brighton, MI 48114
Phone (810) 844-7566
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
420 W Russell St
Ste 203
Saline, MI 48176
Phone (734) 429-1234
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
5333 McAuley Dr
Rm 6110
Ypsilanti, MI 48197
Phone (734) 434-1000
1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
Interoperability endpoints
- jherschman25191@direct.promedica.org
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.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Urology Physician
- Ypsilanti, MI
- NPI 1932440310
-
- Critical Care Medicine (Internal Medicine) Physician
- Ypsilanti, MI
- NPI 1912941337
Urology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1154353076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SEAGATE # 800",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 KIMOLE LN STE 260",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211400",
"telephone_number": "517-265-4770"
}
],
"practiceLocations": [
{
"address_1": "5333 McAuley Dr",
"address_2": "Ste 6110",
"address_purpose": "LOCATION",
"city": "Ypsilanti",
"state": "MI",
"postal_code": "481971014",
"country_code": "US",
"telephone_number": "734-434-1000",
"fax_number": "734-434-8777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERSCHMAN",
"first_name": "JONATHAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "4301075936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104276189",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jherschman25191@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.