Active NPI
Neil Danial Jaddou, M.D.
- Family Medicine Physician
- Troy, MI
National Provider Identifier
1386634632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NJ065821
- Practice address
- 1615 W Big Beaver Rd Ste A4
Troy, MI 48084-3539 - Phone
- (248) 816-1010
- NPI assigned
- Oct 27, 2005
- 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 | NJ065821 | MI | Primary |
Addresses
Primary practice location
1615 W Big Beaver Rd Ste A4
Troy, MI 48084-3539
Mailing address
1615 W Big Beaver Rd Ste A4
Troy, MI 48084-3539
Phone (248) 816-1010
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124427 | Other | MI | CARE CHOICES |
| H03134 | Other | MA | HAP |
| 080F339440 | Other | MI | BC/BS |
| 086317921 | Other | MI | BCBS |
| 4535315 | Medicaid | MI |
Other names 1
- Dr. Neil Danial Jaddou
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
- Wayne State University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064
36950 Ryan Rd
Sterling Heights, MI 48310-4456
Phone (586) 722-7240
Hospital & facility affiliations
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ065821 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neil D Jaddou MD PC | Family Medicine | Current | Accepting new patients |
| Sciometrix Inc | Current | Accepting new patients | |
| Sciometrix LLC | Current | Accepting new patients | |
| Genesys Regional Medical Center | Past | Accepting new patients |
Locations
306 S Washington Ave
Ste 600
Royal Oak, MI 48067
36950 Ryan Rd
Sterling Hts, MI 48310
Phone (586) 722-7240
1615 W Big Beaver Rd
Ste A
Troy, MI 48084
1615 W Big Beaver Rd
Troy, MI 48084
Phone (248) 649-2004
1615 W Big Beaver Rd
Ste A4
Troy, MI 48084
Phone (248) 816-1010
Interoperability endpoints
- njaddou63279@direct.hfhs.org
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/77825
- neiljaddou@njmd.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Troy, MI
- NPI 1679655823
-
- General Practice Physician
- Royal Oak, MI
- NPI 1619649894
-
- General Practice Physician
- Staten Island, NY
- NPI 1457065591
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1134152226
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- 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": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1386634632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 W BIG BEAVER RD STE A4",
"city": "TROY",
"state": "MI",
"postal_code": "480843539",
"telephone_number": "248-816-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 W BIG BEAVER RD STE A4",
"city": "TROY",
"state": "MI",
"postal_code": "480843539",
"telephone_number": "248-816-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JADDOU",
"first_name": "NEIL",
"middle_name": "DANIAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "NJ065821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "124427",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "H03134",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "080F339440",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "086317921",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4535315",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NEIL",
"last_name": "JADDOU",
"middle_name": "DANIAL",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.