Individual provider Active NPI

Jaspreet K Ghumman, D.O.

  • Gastroenterology Physician
  • Clinton Township, MI
National Provider Identifier
1225278054
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5101017852 Issued in MI
Practice address
37399 Garfield Rd Ste 104
Clinton Township, MI 48036-3672
Phone
(586) 286-5400
NPI assigned
Mar 6, 2009
Last updated
Aug 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5101017852 MI Primary

Addresses

Primary practice location

37399 Garfield Rd Ste 104
Clinton Township, MI 48036-3672

Mailing address

37399 Garfield Rd Ste 104
Clinton Township, MI 48036-3672
Phone (586) 286-5400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917000505 MI Practitioner - Gastroenterology 3072732445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Michigan State University College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-County Gastroenterology, PCGroup PAC ID 2466491253, 8 clinicians

Practice addresses (Care Compare)

37399 Garfield
Suite 104
Clinton TWP, MI 48036-3672
Phone (586) 286-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy56
Upper gastrointestinal (GI) endoscopy for acid reflux75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Gastroenterology, PC Gastroenterology CurrentSince Oct 1, 2014 Accepting new patients
Trillium Anesthesia Services, PLLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

37399 Garfield Rd
Ste 104
Clinton Twp, MI 48036
Phone (586) 286-5400

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 4

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": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1225278054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD STE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-286-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD STE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-286-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHUMMAN",
        "first_name": "JASPREET",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101017852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.