NPIMap

Individual provider Active NPI

Jeffrey J Kimpson, M.D.

  • Anesthesiology Physician
  • Southfield, MI
National Provider Identifier
1174565956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301050279 Issued in MI
Practice address
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone
(248) 849-3000
NPI assigned
Jun 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301050279 MI Primary

Addresses

Primary practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

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
I20040408001284 MI Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 5597653667 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Wayne State University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Pain Management Consultants, PCGroup PAC ID 5092709428, 2 clinicians
Michigan Pain Management Consultants-West, PCGroup PAC ID 2961580287, 2 clinicians

Practice addresses (Care Compare)

16001 W Nine Mile
Southfield, MI 48075-4818
Phone (248) 746-5896

21700 Northwestern Hwy
Suite 600
Southfield, MI 48075-4912
Phone (248) 849-3192

26750 Providence Pkwy
Suite 120
Novi, MI 48374-1211
Phone (248) 679-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.43 of 100Reported as individual
Quality
61.9
Improvement activities
40
Cost
76.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Pain Management Consultants-West, PC Anesthesiology CurrentSince Jan 1, 2008 Accepting new patients
Michigan Pain Management Consultants, PC Anesthesiology CurrentSince Mar 20, 1995 Accepting new patients
Providence Park Anesthesia Associates, PC Anesthesiology CurrentSince Apr 14, 2010 Accepting new patients
Comprehensive Pain Solutions PLLC Pain Medicine PastSince Sep 1, 2010 Accepting new patients
Afton Nephrology Associates PastSince Sep 29, 2010 Accepting new patients

Locations

30400 Telegraph Rd
Ste 405
Bingham Farms, MI 48025
Phone (248) 483-8138

38864 Hilldale St
Clinton Twp, MI 48036
Phone (586) 233-5554

255 W Michigan Ave
Jackson, MI 49201

26750 Providence Pkwy
Novi, MI 48374
Phone (248) 465-4782

26750 Providence Pkwy
Ste 120
Novi, MI 48374
Phone (248) 679-8000

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

16001 W 9 Mile Rd
#601
Southfield, MI 48075
Phone (248) 424-3000

22255 Greenfield Rd
Ste 500
Southfield, MI 48075
Phone (248) 849-3142

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJHCDA/Endpoint/FJHCDA
  • Direct secure messaging: jkimpson1134700@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174565956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPSON",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301050279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.