Active NPI
Matthew James Jerore, DO
- Family Medicine Physician
- Washington Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5151014258
- Practice address
- 64321 Van Dyke Rd
Washington Township, MI 48095-2578 - Phone
- (586) 281-6000
- NPI assigned
- Apr 23, 2020
- Last updated
- Jun 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5151014258 | MI | Primary |
Addresses
Primary practice location
64321 Van Dyke Rd
Washington Township, MI 48095-2578
Mailing address
64321 Van Dyke Rd
Washington Township, MI 48095-2578
Phone (586) 281-6000
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
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 S Blvd E
Rochester Hills, MI 48307-6116
4600 Investment Dr
Troy, MI 48098-6368
Phone 24826750003025
64321 Van Dyke Rd
Washington TWP, MI 48095-2578
Phone (586) 281-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.58 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcturus Healthcare PLC | Family Medicine | Current | Accepting new patients |
| Arcturus Healthcare PLC | Family Medicine | Current | Accepting new patients |
| Macomb Oakland Adult Medicine PC | Current | Accepting new patients |
Locations
1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000
64321 Van Dyke Rd
Washington Twp, MI 48095
Phone (586) 281-6000
Interoperability endpoints
- mjerore1239878@epic00.shdirect.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1326487901
Family Medicine
-
- Family Medicine Physician
- Rochester Hills, MI
- NPI 1497277099
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1669576120
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1346860962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64321 VAN DYKE RD",
"city": "WASHINGTON TOWNSHIP",
"state": "MI",
"postal_code": "480952578",
"telephone_number": "586-281-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64321 VAN DYKE RD",
"city": "WASHINGTON TOWNSHIP",
"state": "MI",
"postal_code": "480952578",
"telephone_number": "586-281-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERORE",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-23",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5151014258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.