NPIMap

Individual provider Active NPI

Jonathan Robert Doty, DO

  • Neurology Physician
  • Dearborn Heights, MI
National Provider Identifier
1205495975
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5101026941 Issued in MI
Practice address
2515 Ford Road
Suite 100
Dearborn Heights, MI 48127
Phone
(248) 553-0010
Fax
(248) 553-5957
NPI assigned
Jun 6, 2019
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101026941 MI Primary

Addresses

Primary practice location

2515 Ford Road
Suite 100
Dearborn Heights, MI 48127

Mailing address

28595 Orchard Lake Rd Ste 200
Farmington Hills, MI 48334-2979
Phone (248) 553-0010

Other practice location 1

7957 N Wayne Rd
Westland, MI 48185-1109
Phone (248) 553-0010

Other practice location 2

14750 King Rd
Riverview, MI 48193-7973
Phone (248) 553-0010

Other practice location 3

28595 Orchard Lake Rd Ste 200
Farmington Hills, MI 48334-2979
Phone (248) 553-0010

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
I20230517000703 MI Practitioner - Neurology 0547593006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glendale Neurological Associates P CGroup PAC ID 5294778833, 40 clinicians

Practice addresses (Care Compare)

28595 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48334-2979
Phone (248) 553-0010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
75.8
Improvement activities
40
Cost
84.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Aas LLC CurrentSince Jan 26, 2026 Accepting new patients
Glendale Neurological Associates P C Neurology CurrentSince Jun 1, 2023 Accepting new patients

Locations

25150 Ford Rd
Ste 100
Dearborn Heights, MI 48127
Phone (734) 309-9976

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

14750 King Rd
Riverview, MI 48193

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1697
  • Direct secure messaging: jdoty@mind.gwaydirect.com
  • Direct secure messaging: jdoty558864@direct.hfhs.org

Organizations & group practices 2

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1205495975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28595 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342979",
            "telephone_number": "248-553-0010",
            "fax_number": "248-553-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 FORD ROAD",
            "address_2": "SUITE 100",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "248-553-0010",
            "fax_number": "248-553-5957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7957 N Wayne Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481851109",
            "country_code": "US",
            "telephone_number": "248-553-0010",
            "fax_number": "248-553-5957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14750 King Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "MI",
            "postal_code": "481937973",
            "country_code": "US",
            "telephone_number": "248-553-0010",
            "fax_number": "248-553-5957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28595 Orchard Lake Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483342979",
            "country_code": "US",
            "telephone_number": "248-553-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTY",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101026941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.