Active NPI
Jayanthi Chandrasekaran
- Internal Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301111660
- Practice address
- 28411 Northwestern Hwy Ste 1050
Southfield, MI 48034 - Phone
- (855) 442-2552
- Fax
- (247) 354-4807
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.024105 | OH | |
| Internal Medicine Physician | 207R00000X | 4301111660 | MI | Primary |
Addresses
Primary practice location
28411 Northwestern Hwy Ste 1050
Southfield, MI 48034
Mailing address
28411 Northwestern Hwy Ste 1050
Southfield, MI 48034-5529
Phone (855) 442-2552
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
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29877 Telegraph Rd
Suite 200
Southfield, MI 48034-7659
Phone (248) 354-0730
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.87 of 100
- Quality
- 52.13
- Improvement activities
- 40
- Cost
- 66.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.024105 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Internal Medicine | Current | Accepting new patients |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Academic Internal Medicine Specialists PLLC | Internal Medicine | Current | Accepting new patients |
| William Beaumont Hospital | Past | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Past | Accepting new patients |
Locations
6071 W Outer Dr
Ste 7
Detroit, MI 48235
Phone (313) 966-3300
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
2033 Crooks Rd
Royal Oak, MI 48073
Phone (248) 543-2000
28411 Northwestern Hwy
Ste 1050
Southfield, MI 48034
Phone (248) 354-4709
29877 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 354-0730
Interoperability endpoints
- jchandrasekaran452415@direct.hfhs.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1346398971
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1285035030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28411 NORTHWESTERN HWY STE 1050",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480345529",
"telephone_number": "855-442-2552",
"fax_number": "247-354-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28411 NORTHWESTERN HWY STE 1050",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "855-442-2552",
"fax_number": "247-354-4807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRASEKARAN",
"first_name": "JAYANTHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.024105",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301111660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.