Individual provider Active NPI

Jonathan Jershaun King, M.D.

  • Family Medicine Physician
  • Laingsburg, MI
National Provider Identifier
1437447414
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301098783 Issued in MI
Practice address
317 E Grand River Rd
Laingsburg, MI 48848-8742
Phone
(517) 651-2801
Fax
(517) 651-2310
NPI assigned
Jul 12, 2011
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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 4301098783 MI Primary

Addresses

Primary practice location

317 E Grand River Rd
Laingsburg, MI 48848-8742

Mailing address

317 E Grand River Rd
Laingsburg, MI 48848-8742
Phone (517) 651-2801

Other identifiers 1

IdentifierTypeStateIssuer
1437447414MedicaidMI

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
I20151229001631 MI Practitioner - Family Practice 9931400173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

29263 Orchard Lake Rd
Farmington Hills, MI 48334-2953
Phone (248) 488-5900

317 E Grand River Rd
1 MH Family Medicine Laingsburg
Laingsburg, MI 48848-8742
Phone (517) 651-2801

42757 Woodward Ave
Beaumont Urgent Care by Wellstreet
Bloomfield Hills, MI 48304-5037
Phone (248) 940-4937

6470 Orchard Lake Rd
West Bloomfield, MI 48322-2337
Phone (248) 419-8019

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

Procedures performed for Medicare patients

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Family Medicine Current Accepting new patients
Memorial Hospital Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Wellstreet Urgent Care of Michigan CurrentSince May 26, 2019 Accepting new patients
Memorial Hospital CurrentSince Sep 1, 2016 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

317 E Grand River Rd
Laingsburg, MI 48848
Phone (517) 651-2801

317 E Grand River Rd
Ste 1
Laingsburg, MI 48848
Phone (517) 651-2801

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

Interoperability endpoints

  • Direct secure messaging: j.king@memorialhealthcare.midirect.net
  • Direct secure messaging: jonathanking@memh.allscriptsdirect.net

Organizations & group practices 6

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 7

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1437447414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E GRAND RIVER RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488488742",
            "telephone_number": "517-651-2801",
            "fax_number": "517-651-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E GRAND RIVER RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488488742",
            "telephone_number": "517-651-2801",
            "fax_number": "517-651-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JONATHAN",
        "middle_name": "JERSHAUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301098783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437447414",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laingsburg, MI

Sources for this page

Verify at the official NPI Registry.