Individual provider Active NPI

Jayanthi Chandrasekaran

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1285035030
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301111660 Issued in MI
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

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170515000074 MI Practitioner - Internal Medicine 2365729662 Reassigns benefits to 2 organizations

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
Academic Internal Medicine Specialists PLLCGroup PAC ID 8123121969, 19 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
57.024105OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2025 Accepting new patients
Academic Internal Medicine Specialists PLLC Internal Medicine CurrentSince Jul 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.