NPIMap

Individual provider Active NPI

Holle J Janeski, DO

  • Internal Medicine Physician
  • Riverview, MI
National Provider Identifier
1508864174
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101012714 Issued in MI
Practice address
18580 Fort St
Riverview, MI 48193-7442
Phone
(734) 479-8800
Fax
(734) 283-4861
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101012714 MI Primary

Addresses

Primary practice location

18580 Fort St
Riverview, MI 48193-7442

Mailing address

18580 Fort St
Riverview, MI 48193-7442
Phone (734) 479-8800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hjaneski250078@direct.hfhs.org Henry Ford Wyandotte Hospital

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
I20060207000100 MI Practitioner - Internal Medicine 3870528227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metro Shores Internal Medicine, PLLCGroup PAC ID 0345366639, 2 clinicians

Practice addresses (Care Compare)

13909 Pennsylvania Rd
Suite B
Riverview, MI 48193-7502
Phone (734) 479-8800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012714MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Shores Internal Medicine, PLLC Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
Downriver Internal Medicine PC Internal Medicine Past Accepting new patients

Locations

18580 Fort St
Riverview, MI 48193
Phone (734) 479-8800

13909 Pennsylvania Rd
Ste B
Riverview, MI 48193
Phone (734) 479-8800

14700 King Rd
Ste A
Riverview, MI 48193
Phone (734) 479-1944

13909 Pennsylvania Rd
Riverview, MI 48193

Interoperability endpoints

  • Direct secure messaging: hjaneski250078@direct.hfhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1508864174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18580 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937442",
            "telephone_number": "734-479-8800",
            "fax_number": "734-283-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18580 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937442",
            "telephone_number": "734-479-8800",
            "fax_number": "734-283-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANESKI",
        "first_name": "HOLLE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101012714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hjaneski250078@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Wyandotte Hospital",
            "address_1": "2333 Biddle St",
            "city": "Wyandotte",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481924668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

Verify at the official NPI Registry.