Individual provider Active NPI

Jan Akervall, MD

  • Otolaryngology Physician
  • Farmington Hills, MI
National Provider Identifier
1497718142
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301075498 Issued in MI
Practice address
28300 Orchard Lake Rd
Suite 100
Farmington Hills, MI 48334-3704
Phone
(248) 737-4030
Fax
(248) 737-0636
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301075498 MI Primary

Addresses

Primary practice location

28300 Orchard Lake Rd
Suite 100
Farmington Hills, MI 48334-3704

Mailing address

5333 McAuley Dr
RM 2017
Ypsilanti, MI 48197-1096
Phone (734) 434-3200

Other identifiers 2

IdentifierTypeStateIssuer
4454674MedicaidMI
CI0239OtherMIRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jan.akervall.1@15595.direct.athenahealth.com Health Information Exchange (HIE)

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
I20081203000189 MI Practitioner - Otolaryngology 2567523095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Otolaryngology SurgeryGroup PAC ID 1759442627, 20 clinicians

Practice addresses (Care Compare)

5333 McAuley Dr
RM 2017
Ypsilanti, MI 48197-1096
Phone (734) 434-3200

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075498MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Otolaryngology Surgery Otolaryngology CurrentSince Mar 20, 2018 Accepting new patients
Michigan Otolaryngolgy Surgery CurrentSince Mar 20, 2018 Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 160
Brighton, MI 48114
Phone (800) 851-6672

1600 S Canton Center Rd
Ste 350
Canton, MI 48188
Phone (734) 398-0600

1600 S Canton Center Rd
Ste 340
Canton, MI 48188
Phone (734) 398-8630

14650 E Old US Highway 12
Ste 304
Chelsea, MI 48118
Phone (734) 385-5100

14555 Levan Rd
Ste 314
Livonia, MI 48154
Phone (248) 348-1700

37595 7 Mile Rd
Ste 420
Livonia, MI 48152

1020 E Michigan Ave
Ste I
Saline, MI 48176
Phone (734) 434-3200

5333 McAuley Dr
Rm 2017
Ypsilanti, MI 48197
Phone (734) 434-3200

Interoperability endpoints

  • Direct secure messaging: jan.akervall.1@15595.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1497718142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR",
            "address_2": "RM 2017",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971096",
            "telephone_number": "734-434-3200",
            "fax_number": "734-434-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28300 ORCHARD LAKE RD",
            "address_2": "SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343704",
            "telephone_number": "248-737-4030",
            "fax_number": "248-737-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKERVALL",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301075498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4454674",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI0239",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jan.akervall.1@15595.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5333 McAuley Dr Rm 2017",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481971096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.