NPIMap

Individual provider Active NPI

Jeffrey S Deitch, DO

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1386634749
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010020 Issued in MI
Practice address
37450 Dequindre Rd
Sterling Heights, MI 48310-3503
Phone
(586) 979-5100
Fax
(586) 979-6198
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5101010020 MI Primary

Addresses

Primary practice location

37450 Dequindre Rd
Sterling Heights, MI 48310-3503

Mailing address

37450 Dequindre Rd
Sterling Heights, MI 48310-3503
Phone (586) 979-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000370 MI Practitioner - Family PracticePractitioner - Geriatric Medicine 8527043058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Michigan State University College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-County Medical Clinic PCGroup PAC ID 1355326885, 6 clinicians

Practice addresses (Care Compare)

37450 Dequindre Rd
Sterling Heights, MI 48310-3503
Phone (586) 979-5100

39312 Woodward Ave
Woodward Hills Nursing Center
Bloomfield Hills, MI 48304-5007
Phone (586) 779-7000

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-5000

6445 W Maple Rd
West Bloomfield Nursing Center
West Bloomfield, MI 48322-2047
Phone (248) 592-2002

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Residential Home Health Home health agency, Troy, MI, CCN 237459
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Pomeroy Living Sterling Skilled Rehabilitation Nursing home, Sterling Heights, MI, CCN 235484
  • Woodward Hills Health and Rehabilitation Center Nursing home, Bloomfield Hills, MI, CCN 235556

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101010020MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K & M Medical & Catastrophic Management, LLC CurrentSince Oct 11, 2022 Accepting new patients
Cherrywood Nursing & Living Center Past Accepting new patients
Woodward Hills Health and Rehabilitation Center, LLC Past Accepting new patients

Locations

3005 E 11 Mile Rd
Ste C
Warren, MI 48092
Phone (586) 580-7690

Interoperability endpoints

  • Direct secure messaging: jdeitch1124855@direct.hfhs.org

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386634749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37450 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103503",
            "telephone_number": "586-979-5100",
            "fax_number": "586-979-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37450 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103503",
            "telephone_number": "586-979-5100",
            "fax_number": "586-979-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITCH",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.