Individual provider Active NPI

Carl Rueben Jay Jr., D.P.M.

  • Podiatrist
  • Bloomfield Hills, MI
National Provider Identifier
1376981290
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002483 Issued in MI
Practice address
43494 Woodward Ave Ste 208
Bloomfield Hills, MI 48302-5054
Phone
(810) 206-1402
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Podiatrist 213E00000X 5901002483 MI Primary

Addresses

Primary practice location

43494 Woodward Ave Ste 208
Bloomfield Hills, MI 48302-5054

Mailing address

43494 Woodward Ave Ste 208
Bloomfield Hills, MI 48302-5054
Phone (810) 206-1402

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191121000790 MI Practitioner - Podiatry 1254651805 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Foot and Ankle PLLCGroup PAC ID 5193162329, 3 clinicians
Transitional Care Services LLCGroup PAC ID 6709165954, 45 clinicians

Practice addresses (Care Compare)

43494 Woodward Ave
Suite 208
Bloomfield Hills, MI 48302-5054
Phone (810) 206-1402

4568 W Walton Blvd
Suite D
Waterford, MI 48329-4900
Phone (855) 466-3631

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of skin lesions1-10
Removal of nail tissue264
Removal or shaving of skin growth74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2227TXMDBehavioral Analyst
5901002483MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spartan Podiatry PC Podiatrist CurrentSince Sep 4, 2019 Accepting new patients
Transitional Care Services, LLC CurrentSince Jan 23, 2023 Accepting new patients
Balance Foot & Ankle PLLC Podiatrist CurrentSince Jan 23, 2024 Accepting new patients
VPS of Mi PLLC CurrentSince Aug 26, 2022 Accepting new patients

Locations

391 S Shore Dr
Battle Creek, MI 49014
Phone (269) 963-3535

43494 Woodward Ave
Ste 208
Bloomfld Hls, MI 48302
Phone (248) 335-7740

43494 Woodward Ave
Ste 202
Bloomfld Hls, MI 48302
Phone (248) 334-5444

14825 W McNichols Rd
Detroit, MI 48235
Phone (313) 838-7900

31500 W 13 Mile Rd
Ste 100
Farmington Hills, MI 48334
Phone (248) 509-4070

4330 E Grand River Ave
Howell, MI 48843
Phone (517) 885-3300

25880 Outer Dr
Lincoln Park, MI 48146
Phone (313) 294-9410

1600 S Kalamazoo Ave
Ste A
Marshall, MI 49068
Phone (269) 781-4700

5758 Cooley Lake Rd
Waterford, MI 48327
Phone (855) 466-3631

4568 W Walton Blvd
Ste D
Waterford Township, MI 48329
Phone (855) 466-3631

Interoperability endpoints

  • Direct secure messaging: carl.jay.1@30274.direct.athenahealth.com
  • Direct secure messaging: cjay1133313@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/20440/brand/1/csg/1/fhir/r4
  • Direct secure messaging: carl.jay.1@31855.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1376981290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE STE 208",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025054",
            "telephone_number": "810-206-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE STE 208",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025054",
            "telephone_number": "810-206-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "CARL",
        "middle_name": "RUEBEN",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.