Jennifer Sue Engle, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

4301056164 Issued in MI

Practice address

3290 West Big Beaver
Suite 410
Troy, MI 48084

Phone

(248) 816-6300

Fax

(248) 816-6335

NPI assigned

Aug 25, 2006

Last updated

Nov 24, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Vascular SurgeryAlso: General Surgery

Education

Wayne State University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Somerset Venous Center PCGroup PAC ID 0648298851, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Somerset Venous Center PC

  • Vascular Surgery Physician
  • Troy, MI
  • NPI 1740396043
  Medicare reassignment Care Compare group NPD Authorized official
• Somerset Compression Inc

  • Durable Medical Equipment & Medical Supplies
  • Troy, MI
  • NPI 1366558660

  Vascular Surgery

  NPD (past) Authorized official
• Regents of the Univ of Michigan- Ambulatory Ctr for Vein Treatment

  • Vascular Surgery Physician
  • Livonia, MI
  • NPI 1669512786
  NPD (past)
• Regents of the University of Michigan - Ambulatory Ctr for Vein Trtmt

  • Physician Assistant
  • Livonia, MI
  • NPI 1457782450
  NPD (past)

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

• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1487761284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 W BIG BEAVER",
            "address_2": "SUITE 410",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-816-6300",
            "fax_number": "248-816-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 WEST BIG BEAVER",
            "address_2": "SUITE 410",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48084",
            "telephone_number": "248-816-6300",
            "fax_number": "248-816-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301056164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0633076",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Emerick, DPT
• Hannah Emerick, RN
• Shannon Emerson
• Encore Diagnostics, LLC
• Christina Endress, MD PC
• Ruth Engle, CMT
• Enriched Home Help LLC
• Entech Medical Staffing
• Entech Medical Staffing
• Ndidi O Enwereji, MD

• Vascular Surgery Physician in Troy, MI
• Providers in Troy, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.