Active NPI
Jennifer B Driker, MD MPH
- Internal Medicine Physician
- Clawson, MI
National Provider Identifier
1215913397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301077619
- Practice address
- 555 W 14 Mile Rd
Ste 100
Clawson, MI 48017-3100 - Phone
- (248) 655-1400
- Fax
- (248) 655-2646
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301077619 | MI | Primary |
Addresses
Primary practice location
555 W 14 Mile Rd
Ste 100
Clawson, MI 48017-3100
Mailing address
555 W 14 Mile Rd
Ste 100
Clawson, MI 48017-3100
Phone (248) 655-1400
Other names 1
- Jennifer Bookstein
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040713000730 | MI | Practitioner - Internal Medicine | 1254319403 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077619 | MI | MD | Internal Medicine Physician |
Interoperability endpoints
- jennifer.driker.1@28573.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Clawson, MI
- NPI 1609966696
MI
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Woodward Internal Medicine Associates PC
Practice addresses (Care Compare)
555 W 14 Mile Rd
Suite 100
Clawson, MI 48017-3100
Phone (248) 655-1400
Hospital & facility affiliations
- Beaumont Home Health
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Beaumont Hospital - Grosse Pointe
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1215913397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W 14 MILE RD",
"address_2": "STE 100",
"city": "CLAWSON",
"state": "MI",
"postal_code": "480173100",
"telephone_number": "248-655-1400",
"fax_number": "248-655-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W 14 MILE RD",
"address_2": "STE 100",
"city": "CLAWSON",
"state": "MI",
"postal_code": "480173100",
"telephone_number": "248-655-1400",
"fax_number": "248-655-2646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIKER",
"first_name": "JENNIFER",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301077619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BOOKSTEIN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Clawson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.