Jeetender Singh Matharu, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301070179 Issued in MI

Practice address

7250 Dixie Hwy
Suite 100
Clarkston, MI 48346-5108

Phone

(248) 620-3500

Fax

(248) 620-3503

NPI assigned

Jan 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Hospitalists, PLLCGroup PAC ID 8921338237, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
• McLaren Oakland Hospital, Pontiac, MI, CCN 230207

Merit-based Incentive Payment System (MIPS)

Final score

89.55 of 100Reported as group

Quality

76.29

Improvement activities

40

Cost

82.74

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeetendermatharu@jmmdmi.allscriptsdirect.net

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.

• Jeetender Matharu MD PLC

  • Family Medicine Physician
  • Clarkston, MI
  • NPI 1407047780
  Medicare reassignment NPD Authorized official
• Mercy Hospitalists, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bloomfield Hills, MI
  • NPI 1790340958

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Michigan PC

  • Hospitalist Physician
  • Livonia, MI
  • NPI 1861442824
  Medicare reassignment NPD
• Ricardo Cabrera MD PLC

  • Family Medicine Physician
  • Clarkston, MI
  • NPI 1962693242
  NPD
• Quality Care Physicians Group

  • Emergency Medicine Physician
  • Waterford, MI
  • NPI 1114974912
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  Care Compare affiliation
• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1255310397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 DIXIE HWY",
            "address_2": "SUITE 100",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465108",
            "telephone_number": "248-620-3500",
            "fax_number": "248-620-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 DIXIE HWY",
            "address_2": "SUITE 100",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465108",
            "telephone_number": "248-620-3500",
            "fax_number": "248-620-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHARU",
        "first_name": "JEETENDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4483424",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0806300321",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel K Martinez, LMSW
• Amanda Mason, MA, LLC
• Ashley Mason, PMHNP-BC
• Lashavone Mason
• Kyle Christian Masters, RBT
• Nadia Matta, LMSW
• Patricia Matts, OTR
• Tyler Matts
• Alexandra Marie Mausolf, PT, DPT
• Catherine M May, M.A., CCC-A

• Family Medicine Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.

Verify at the official NPI Registry.