Active NPI
Joshua Henry Jolly
- Orthopaedic Surgery Physician
- Novi, MI
National Provider Identifier
1457192890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4351055859
- Practice address
- 26850 Providence Pkwy Ste 260
Novi, MI 48374-1256 - Phone
- (248) 465-5140
- Fax
- (248) 951-0184
- NPI assigned
- May 31, 2024
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4351055859 | MI | Primary |
Addresses
Primary practice location
26850 Providence Pkwy Ste 260
Novi, MI 48374-1256
Mailing address
26850 Providence Pkwy Ste 260
Novi, MI 48374-1256
Phone (248) 465-5140
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260522001903 | MI | Order and Referring Only - Orthopedic Surgery | 6002386711 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1457192890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY STE 260",
"city": "NOVI",
"state": "MI",
"postal_code": "483741256",
"telephone_number": "248-465-5140",
"fax_number": "248-951-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26850 PROVIDENCE PKWY STE 260",
"city": "NOVI",
"state": "MI",
"postal_code": "483741256",
"telephone_number": "248-465-5140",
"fax_number": "248-951-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLY",
"first_name": "JOSHUA",
"middle_name": "HENRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-31",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4351055859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.