Active NPI
James R Jokerst, M.D.
- Pediatrics Physician
- Kentwood, MI
National Provider Identifier
1487762407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5315111854
- Practice address
- 4444 Kalamazoo Ave SE
Suite 103
Kentwood, MI 49508-4600 - Phone
- (616) 281-5800
- NPI assigned
- Aug 29, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5315111854 | MI | Primary |
Addresses
Primary practice location
4444 Kalamazoo Ave SE
Suite 103
Kentwood, MI 49508-4600
Mailing address
4444 Kalamazoo Ave SE
Suite 103
Kentwood, MI 49508-4600
Phone (616) 281-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315111854 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Kentwood | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Kentwood, MI
- NPI 1174573471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1487762407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 KALAMAZOO AVE SE",
"address_2": "SUITE 103",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495084600",
"telephone_number": "616-281-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 KALAMAZOO AVE SE",
"address_2": "SUITE 103",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495084600",
"telephone_number": "616-281-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOKERST",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5315111854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kentwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.