Individual provider Active NPI

Theodore Benjamin Jones, MD

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
National Provider Identifier
1245270792
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301054134 Issued in MI
Practice address
18181 Oakwood Blvd Ste 410
Dearborn, MI 48124-4082
Phone
(313) 982-5430
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 4301054134 MI
Obstetrics & Gynecology Physician 207V00000X 4301054134 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd Ste 410
Dearborn, MI 48124-4082

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

18181 Oakwood Blvd Ste 306
Dearborn, MI 48124-3998
Phone (313) 436-2632

Other practice location 2

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-2070

Other practice location 3

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

Other practice location 4

17400 W 13 Mile Rd
Beverly Hills, MI 48025-5439
Phone (248) 712-4120

Other practice location 5

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000

Other practice location 6

28100 Grand River Ave Ste 306
Farmington Hills, MI 48336-5970
Phone (947) 521-2649

Other practice location 7

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (248) 964-5129

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tjones111393@direct.beaumont.edu

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
I20050103000901 MI Practitioner - Obstetrics/Gynecology 2668430935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18181 Oakwood Blvd
Dearborn, MI 48124-4082

28100 Grand River Ave
Farmington Hills, MI 48336-5970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301054134MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Obstetrics & Gynecology CurrentSince Oct 1, 2006 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Sep 7, 2018 Accepting new patients
Oakwood Ambulatory LLC Obstetrics & Gynecology CurrentSince Feb 13, 2012 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Feb 13, 2012 Accepting new patients
University Physician Group Past Accepting new patients
University Women's Care, Inc Obstetrics & Gynecology Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

17400 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 712-4120

18101 Oakwood Blvd
Fl 1
Dearborn, MI 48124
Phone (313) 436-2898

18181 Oakwood Blvd
Ste 410
Dearborn, MI 48124
Phone (313) 271-0066

18181 Oakwood Blvd
Ste 306
Dearborn, MI 48124
Phone (313) 436-2632

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

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

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

28100 Grand River Ave
Ste 306
Farmington Hills, MI 48336
Phone (248) 476-1010

468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000

9230 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 875-9270

3601 W 13 Mile Rd
Royal Oak, MI 48073

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

1560 E Maple Rd
Ste 400
Troy, MI 48083

33155 Annapolis St
Fl 2
Wayne, MI 48184
Phone (734) 467-4266

Organizations & group practices 6

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 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1245270792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 410",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244082",
            "telephone_number": "313-982-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18181 Oakwood Blvd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481243998",
            "country_code": "US",
            "telephone_number": "313-436-2632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-593-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17400 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480255439",
            "country_code": "US",
            "telephone_number": "248-712-4120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "947-521-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28100 Grand River Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365970",
            "country_code": "US",
            "telephone_number": "947-521-2649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 Cadieux Rd",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe",
            "state": "MI",
            "postal_code": "482301507",
            "country_code": "US",
            "telephone_number": "248-964-5129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "THEODORE",
        "middle_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "4301054134",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301054134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjones111393@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "18181 Oakwood Blvd Ste 410",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481244082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.