Active NPI
Jasneet S. Bhullar, M.D.
- Colon & Rectal Surgery Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 4301504854
- Practice address
- 1901 Star Batt Dr Ste 200
Rochester Hills, MI 48309-3767 - Phone
- (862) 266-1235
- Fax
- (586) 226-6123
- NPI assigned
- Jul 19, 2009
- Last updated
- Sep 21, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | MD461918 | PA | |
| Colon & Rectal Surgery Physician | 208C00000X | 4301504854 | MI | Primary |
Addresses
Primary practice location
1901 Star Batt Dr Ste 200
Rochester Hills, MI 48309-3767
Mailing address
46591 Romeo Plank Rd Ste 107
Macomb, MI 48044-5705
Phone (586) 226-6120
Other practice location 1
16001 W 9 Mile Rd Fl 3
Southfield, MI 48075-4818
Phone (586) 226-6120
Other practice location 2
46591 Romeo Plank Rd Ste 107
Macomb, MI 48044-5705
Phone (586) 226-6120
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
- Colorectal Surgery (Proctology)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 W University Dr
Suite 355
Rochester, MI 48307-1871
Phone (248) 793-8900
43900 Garfield Rd
Suite 222
Clinton Township, MI 48038-1137
Phone (586) 286-0050
Hospital & facility affiliations
- Ascension Providence Rochester Hospital
- Henry Ford Health St John Hospital
- Ascension Providence Hospital, Southfield and Novi
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 98 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 20 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301504854 | MI | MD | Colon & Rectal Surgery Physician |
| MD461918 | PA | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Cornerstone Medical Group | Current | Accepting new patients |
Locations
4260 Van Dyke Rd
Ste 102
Almont, MI 48003
Phone (810) 798-3994
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
46591 Romeo Plank Rd
Ste 107
Macomb, MI 48044
Phone (586) 226-6080
46591 Romeo Plank Rd
Ste 133
Macomb, MI 48044
Phone (586) 226-6161
1901 Star Batt Dr
Ste 200
Rochester Hills, MI 48309
Phone (248) 844-5690
16001 W 9 Mile Rd
Fl 3
Southfield, MI 48075
Phone (248) 849-2600
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
- jasneet.bhullar.1@8209.direct.athenahealth.com
- jbhullar1117489@direct.hfhs.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1851765374
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1316177876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46591 ROMEO PLANK RD STE 107",
"city": "MACOMB",
"state": "MI",
"postal_code": "480445705",
"telephone_number": "586-226-6120",
"fax_number": "586-226-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 STAR BATT DR STE 200",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093767",
"telephone_number": "862-266-1235",
"fax_number": "586-226-6123"
}
],
"practiceLocations": [
{
"address_1": "16001 W 9 Mile Rd Fl 3",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480754818",
"country_code": "US",
"telephone_number": "586-226-6120",
"fax_number": "586-226-6123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "46591 Romeo Plank Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Macomb",
"state": "MI",
"postal_code": "480445705",
"country_code": "US",
"telephone_number": "586-226-6120",
"fax_number": "586-226-6123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHULLAR",
"first_name": "JASNEET",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-19",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "PA",
"license": "MD461918",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MI",
"license": "4301504854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.