Individual provider Active NPI

Jamie George Taweel, D.O.

  • Internal Medicine Physician
  • New Hudson, MI
National Provider Identifier
1386775419
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101016530 Issued in MI
Practice address
55840 Grand River Ave Ste 300
New Hudson, MI 48165-9717
Phone
(248) 676-9060
Fax
(248) 684-5550
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101016530 MI Primary

Addresses

Primary practice location

55840 Grand River Ave Ste 300
New Hudson, MI 48165-9717

Mailing address

55840 Grand River Ave Ste 300
New Hudson, MI 48165-9717
Phone (248) 264-6169

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
I20080903000513 MI Practitioner - Internal Medicine 2961578653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Wound Care of Caro PCGroup PAC ID 3678926227, 6 clinicians

Practice addresses (Care Compare)

1800 W Caro Rd
Caro, MI 48723-8209

55840 Grand River Ave
Suite 300
New Hudson, MI 48165-9717
Phone (248) 264-6169

Hospital & facility affiliations

  • Custom Hospice, LLC Hospice, Troy, MI, CCN 231638
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1131
Removal of skin lesions39
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Care of Caro PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Sciometrix LLC CurrentSince Jul 21, 2022 Accepting new patients
Sciometrix Inc CurrentSince Jan 15, 2023 Accepting new patients
Grand River Medical Associates, PLLC Internal Medicine CurrentSince Oct 27, 2014 Accepting new patients
Progressive Health Care, P.C. Internal Medicine PastSince Feb 15, 2013 Accepting new patients

Locations

1800 W Caro Rd
Ste 12
Caro, MI 48723
Phone (248) 894-7024

1800 W Caro Rd
Caro, MI 48723
Phone (989) 625-8399

55840 Grand River Ave
#300
New Hudson, MI 48165
Phone (248) 264-6169

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9525/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jtaweel@direct.dmc.org
  • Direct secure messaging: jamie.taweel.1@9525.direct.athenahealth.com
  • Direct secure messaging: jamie.taweel.1@30652.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Custom Hospice, LLCTroy, MI, CCN 231638 Hospice Contracted Managing Employee Jun 7, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1386775419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55840 GRAND RIVER AVE STE 300",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481659717",
            "telephone_number": "248-264-6169",
            "fax_number": "248-264-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55840 GRAND RIVER AVE STE 300",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481659717",
            "telephone_number": "248-676-9060",
            "fax_number": "248-684-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWEEL",
        "first_name": "JAMIE",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hudson, MI

Sources for this page

Verify at the official NPI Registry.