Active NPI
Jeffrey James Fletcher, MD
- Vascular Neurology Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 4301087962
- Practice address
- 1500 East Medical Center Dr
2ND Floor Taubman Center Recp G
Ann Arbor, MI 48109 - Phone
- (734) 936-7010
- NPI assigned
- Aug 15, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 4301087962 | MI | |
| Neurocritical Care Physician | 2084A2900X | 4301087962 | MI | |
| Neurology Physician | 2084N0400X | 4301087962 | MI | |
| Vascular Neurology Physician | 2084V0102X | 4301087962 | MI | Primary |
Addresses
Primary practice location
1500 East Medical Center Dr
2ND Floor Taubman Center Recp G
Ann Arbor, MI 48109
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7200
Other practice location 2
100 Michigan St NE # Mc019
Grand Rapids, MI 49503-2560
Phone (616) 391-1969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D16078396 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Wayne State University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
5301 McAuley Dr
Ypsilanti, MI 48197-1051
5900 Byron Ctr Ave
Wyoming, MI 49519-9606
5900 Byron Ctr Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-3243
5900 Byron Ctr Swave
Wyoming, MI 49519-9606
Phone (616) 252-7200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Neurological Surgery | Current | Accepting new patients |
| Holland Community Hospital | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Iha Health Services Corporation | Neurology | Current | Accepting new patients |
| Metropolitan Hospital | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Ut Methodist Physicians LLC | Neurology | Current | Accepting new patients |
| University of Virginia Physicians Group | Past | Accepting new patients |
Locations
1500 E Medical Center Dr
#D
Ann Arbor, MI 48109
Phone (734) 936-5823
1500 E Medical Center Dr
Fl 2
Ann Arbor, MI 48109
Phone (734) 936-5738
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785
1325 Eastmoreland Ave
Ste 310
Memphis, TN 38104
Phone (901) 272-6010
1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954
Interoperability endpoints
- jfletcher64404@direct.metrohealth.net
Organizations & group practices 10
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.
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
dba Metro Health Hospital
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1780888099
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA Neurology Consultants
- Neurology Physician
- Ypsilanti, MI
- NPI 1669713145
-
- Critical Care Medicine (Internal Medicine) Physician
- Ann Arbor, MI
- NPI 1285659045
Neurological Surgery
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1336252568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DR",
"address_2": "2ND FLOOR TAUBMAN CENTER RECP G",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48109",
"telephone_number": "734-936-7010"
}
],
"practiceLocations": [
{
"address_1": "5900 Byron Center Ave SW",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MI",
"postal_code": "495199606",
"country_code": "US",
"telephone_number": "616-252-7200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Michigan St NE # Mc019",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032560",
"country_code": "US",
"telephone_number": "616-391-1969",
"fax_number": "616-391-6248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLETCHER",
"first_name": "JEFFREY",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301087962",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "MI",
"license": "4301087962",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301087962",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "MI",
"license": "4301087962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D16078396",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.