Active NPI
Robert Andrew Jurado, M.D.
- Anesthesiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301082552
- Practice address
- 4201 Saint Antoine St
Wsu-DMC Department of Anesthesology, DRH-Uhc, 3T
Detroit, MI 48201-2153 - Phone
- (313) 745-7233
- NPI assigned
- Jun 24, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301082552 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Wsu-DMC Department of Anesthesology, DRH-Uhc, 3T
Detroit, MI 48201-2153
Mailing address
2875 Troy Center Dr
Apt. 2028
Troy, MI 48084-4718
Phone (248) 269-2018
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3615
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301082552 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan III PLLC | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan PLLC | Anesthesiology | Current | Accepting new patients |
Locations
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
4201 Saint Antoine St
#3T
Detroit, MI 48201
Phone (313) 745-7233
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496
Interoperability endpoints
- rjurado@direct.dmc.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 and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1245436583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 TROY CENTER DR",
"address_2": "APT. 2028",
"city": "TROY",
"state": "MI",
"postal_code": "480844718",
"telephone_number": "248-269-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "WSU-DMC DEPARTMENT OF ANESTHESOLOGY, DRH-UHC, 3T",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-7233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURADO",
"first_name": "ROBERT",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-24",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301082552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.