Individual provider Active NPI

Jamal M Aoun, DO

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1275024606
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101025733 Issued in MI
Practice address
5901 W Vernor Hwy
Detroit, MI 48209-2180
Phone
(313) 554-4357
Fax
(313) 554-1565
NPI assigned
May 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101025733 MI Primary

Addresses

Primary practice location

5901 W Vernor Hwy
Detroit, MI 48209-2180

Mailing address

5901 W Vernor Hwy
Detroit, MI 48209-2180
Phone (313) 554-4357

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
I20211209000477 MI Practitioner - Family Practice 0547650376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5901 W Vernor Hwy
Detroit, MI 48209-2180
Phone (313) 554-4357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025733MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aoun Medical Group PLLC CurrentSince Nov 22, 2021 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Past Accepting new patients

Locations

5901 W Vernor Hwy
Detroit, MI 48209
Phone (313) 207-5767

5901 W Vernor Hwy
Ste B
Detroit, MI 48209
Phone (313) 554-4357

Interoperability endpoints

  • Direct secure messaging: jamal.aoun.1@22896.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22896/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jaoun415322@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1275024606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092180",
            "telephone_number": "313-554-4357",
            "fax_number": "313-554-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092180",
            "telephone_number": "313-554-4357",
            "fax_number": "313-554-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AOUN",
        "first_name": "JAMAL",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101025733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.