NPIMap

Individual provider Active NPI

Jacqueline Huynh, MD

  • Diagnostic Radiology Physician
  • Farmington Hills, MI
National Provider Identifier
1457382095
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301084332 Issued in MI
Practice address
22260 Cape Cod Way
Farmington Hills, MI 48336-4377
Phone
(651) 335-6036
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 47424 MN
Diagnostic Radiology Physician 2085R0202X 4301084332 MI Primary

Addresses

Primary practice location

22260 Cape Cod Way
Farmington Hills, MI 48336-4377

Mailing address

22260 Cape Cod Way
Farmington Hills, MI 48336-4377
Phone (651) 335-6036

Other identifiers 1

IdentifierTypeStateIssuer
201146800MedicaidMN

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
I20101102000813 MI Practitioner - Diagnostic Radiology 4284660184 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 937-5045

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47424MNMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Mar 2, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Mar 2, 2020 Accepting new patients
VHS Physicians of Michigan CurrentSince Sep 22, 2022 Accepting new patients
Henry Ford Health System Diagnostic Radiology CurrentSince Mar 2, 2020 Accepting new patients
Henry Ford Health System CurrentSince Mar 2, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Urgent Care CurrentSince Feb 21, 2022 Accepting new patients
Henry Ford Health System Current Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology CurrentSince Jul 22, 2018 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
#363
Detroit, MI 48202
Phone (313) 916-2020

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

Interoperability endpoints

  • Direct secure messaging: jhuynh645634@direct.hfhs.org

Organizations & group practices 10

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 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1457382095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22260 CAPE COD WAY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364377",
            "telephone_number": "651-335-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22260 CAPE COD WAY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364377",
            "telephone_number": "651-335-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "JACQUELINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "47424",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301084332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201146800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.