NPIMap

Individual provider Active NPI

Jef Getzinger, MD

  • Family Medicine Physician
  • Shelby Township, MI
National Provider Identifier
1205885787
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4373834 Issued in MI
Practice address
15055 22 Mile Rd
Suite 3
Shelby Township, MI 48315-4401
Phone
(586) 566-7100
Fax
(586) 566-8088
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4373834 MI Primary

Addresses

Primary practice location

15055 22 Mile Rd
Suite 3
Shelby Township, MI 48315-4401

Mailing address

13350 24 Mile Rd
Ste 200
Shelby TWP, MI 48315-1826
Phone (586) 566-7100

Other identifiers 2

IdentifierTypeStateIssuer
4373834MedicaidMI
700E031610OtherMIBCBS GROUP NUMBER

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
I20040610001043 MI Practitioner - Family Practice 7315920311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Cornerstone Medical GroupGroup PAC ID 7517162761, 65 clinicians
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Practice addresses (Care Compare)

15055 22 Mile Rd
Suite 3
Shelby TWP, MI 48315-4401
Phone (586) 566-7100

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4373834MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Hospital and Medical Center Family Medicine Past Accepting new patients
Henry Ford Health St. John Hospital Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jgetzinger241750@direct.hfhs.org
  • Direct secure messaging: jef.getzinger.2@8209.direct.athenahealth.com

Organizations & group practices 3

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 10

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1205885787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 24 MILE RD",
            "address_2": "STE 200",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483151826",
            "telephone_number": "586-566-7100",
            "fax_number": "586-566-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15055 22 MILE RD",
            "address_2": "SUITE 3",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154401",
            "telephone_number": "586-566-7100",
            "fax_number": "586-566-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETZINGER",
        "first_name": "JEF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4373834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4373834",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700E031610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.