Active NPI
Jesse Myers
- Diagnostic Radiology Physician
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301110318
- Practice address
- 4005 Orchard Dr
Midland, MI 48670-2001 - Phone
- (989) 839-3408
- NPI assigned
- Jun 8, 2011
- Last updated
- Jul 21, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.059533 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 5315077054 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 4301110318 | MI | Primary |
Addresses
Primary practice location
4005 Orchard Dr
Midland, MI 48670-2001
Mailing address
4005 Orchard Dr
Midland, MI 48670-2001
Phone (989) 839-3408
Other practice location 1
3601 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 898-6091
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.4 of 100
- Quality
- 66.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.059533 | IL | MD | Internal Medicine Physician |
| 5315077054 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Medical Center | Current | Accepting new patients | |
| Midland Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients |
Locations
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4005 Orch Dr
Midland, MI 48670
Phone (989) 839-3100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hurley OB/GYN Research & Education
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Diagnostic Radiology Physician
- Midland, MI
- NPI 1861419954
-
- Diagnostic Radiology Physician
- Marquette, MI
- NPI 1164943007
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
dba Hurley Radiology Group
- Diagnostic Radiology Physician
- Flint, MI
- NPI 1952709834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1205120045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 ORCHARD DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486702001",
"telephone_number": "989-839-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 ORCHARD DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486702001",
"telephone_number": "989-839-3408"
}
],
"practiceLocations": [
{
"address_1": "3601 W 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "48073",
"country_code": "US",
"telephone_number": "248-898-6091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "JESSE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.059533",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "5315077054",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301110318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.