Individual provider Active NPI

Jasneet S. Bhullar, M.D.

  • Colon & Rectal Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1316177876
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
4301504854 Issued in MI
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819000571 MI Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 2365746856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Cornerstone Medical GroupGroup PAC ID 7517162761, 65 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy98
Upper gastrointestinal (GI) endoscopy for acid reflux20
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301504854MIMDColon & Rectal Surgery Physician
MD461918PAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Cornerstone Medical Group CurrentSince Sep 30, 2021 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
  • Direct secure messaging: jasneet.bhullar.1@8209.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.