NPIMap

Individual provider Active NPI

Jason M Hafron, MD

  • Urology Physician
  • West Bloomfield, MI
National Provider Identifier
1255483277
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301089630 Issued in MI
Practice address
6900 Orchard Lake Rd Ste 300
West Bloomfield, MI 48322-3405
Phone
(248) 539-9036
Fax
(248) 539-9267
NPI assigned
Jan 18, 2007
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301089630 MI Primary

Addresses

Primary practice location

6900 Orchard Lake Rd Ste 300
West Bloomfield, MI 48322-3405

Mailing address

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3200
Phone (586) 771-4820

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhafron77384@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070613000610 MI Practitioner - Urology 0244332815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Loyola University of Chicago, Stritch School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians

Practice addresses (Care Compare)

130 Town Ctr Dr
Troy, MI 48084-1744

1701 S Blvd E
Suite 340
Rochester Hills, MI 48307-6120
Phone (248) 293-1000

18100 Oakwood Blvd
Suite 315
Dearborn, MI 48124-4085
Phone (313) 271-0066

19117 Allen Rd
Suite a
Brownstown TWP, MI 48183-1066
Phone (734) 676-4040

19991 Hall Rd
Suite 201
Macomb, MI 48044-4254
Phone (586) 228-0150

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820

2300 Genoa Business Park Dr
Suite 120
Brighton, MI 48114-7368
Phone (810) 900-3220

25500 Meadowbrook Rd
Suite 225
Novi, MI 48375-1882
Phone (248) 426-1300

29275 Northwestern Hwy
Suite 120
Southfield, MI 48034-1044
Phone 58677148202072

33014 5 Mile Rd
Livonia, MI 48154-3075
Phone (734) 261-7401

43650 Garfield Rd
Suite 102
Clinton Township, MI 48038-7419
Phone 58677148202072

5701 Bow Pointe Dr
Suite 250
Clarkston, MI 48346-5405
Phone (248) 620-6660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as individual
Promoting interoperability
94
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089630MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services of Michigan, P.C. Urology CurrentSince Jul 1, 2007 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 21, 2018 Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology CurrentSince Oct 29, 2023 Accepting new patients
Michigan Institute of Urology PC Urology CurrentSince Jul 1, 2007 Accepting new patients

Locations

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

3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

130 Town Center Dr
Ste 101
Troy, MI 48084
Phone (248) 740-0670

Interoperability endpoints

  • Direct secure messaging: jhafron1236576@epic00.shdirect.org
  • Direct secure messaging: jhafron77384@direct.beaumont.edu

Organizations & group practices 4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1255483277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD",
            "address_2": "SUITE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813200",
            "telephone_number": "586-771-4820",
            "fax_number": "586-771-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ORCHARD LAKE RD STE 300",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223405",
            "telephone_number": "248-539-9036",
            "fax_number": "248-539-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFRON",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301089630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhafron77384@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "6900 Orchard Lake Rd Ste 300",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.