Individual provider Active NPI

Tanvee Jain, PA-C

  • Physician Assistant
  • Hamtramck, MI
National Provider Identifier
1336743335
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010199 Issued in MI
Practice address
9015 Joseph Campau St
Hamtramck, MI 48212-3726
Phone
(313) 664-0777
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601010199 MI Primary

Addresses

Primary practice location

9015 Joseph Campau St
Hamtramck, MI 48212-3726

Mailing address

9015 Joseph Campau St
Hamtramck, MI 48212-3726
Phone (313) 664-0777

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127001242 MI Practitioner - Physician Assistant 1658858170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

39555 Orchard Hill PL
Suite 600
Novi, MI 48375-5384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601010199MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of Michigan PLC Obstetrics & Gynecology CurrentSince Dec 20, 2025 Accepting new patients

Locations

4727 Saint Antoine St
Ste 304
Detroit, MI 48201
Phone (313) 745-0499

9015 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 213-4906

46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200

28800 Ryan Rd
Ste 200
Warren, MI 48092
Phone (586) 558-1110

Interoperability endpoints

  • Direct secure messaging: tanvee.jain.1@23753.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1336743335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123726",
            "telephone_number": "313-664-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123726",
            "telephone_number": "313-664-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "TANVEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

Verify at the official NPI Registry.