Individual provider Active NPI

Matthew James Jerore, DO

  • Family Medicine Physician
  • Washington Township, MI
National Provider Identifier
1346860962
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5151014258 Issued in MI
Practice address
64321 Van Dyke Rd
Washington Township, MI 48095-2578
Phone
(586) 281-6000
NPI assigned
Apr 23, 2020
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727001119 MI Practitioner - Family Practice 8921438201 Reassigns benefits to 1 organization

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
Arcturus Healthcare PLCGroup PAC ID 7012143118, 63 clinicians

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 100Reported as group
Quality
82.27
Promoting interoperability
100
Improvement activities
40
Cost
69.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arcturus Healthcare PLC Family Medicine CurrentSince Jul 10, 2023 Accepting new patients
Arcturus Healthcare PLC Family Medicine CurrentSince Jul 10, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.