Active NPI
Julian Dortman, FNP-C
- Family Nurse Practitioner
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704306815
- Practice address
- 700 Cooper Ave
Saginaw, MI 48602-5383 - Phone
- (989) 583-0799
- NPI assigned
- Jul 2, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704306815 | MI | Primary |
Addresses
Primary practice location
700 Cooper Ave
Saginaw, MI 48602-5383
Mailing address
4800 S Saginaw St
Flint, MI 48507-2677
Phone (810) 347-5230
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Oakland Univ, William Beaumont School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Cooper Ave
Suite 4400
Saginaw, MI 48602-5182
Phone (989) 583-4401
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704306815 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Urgent Care PC | Current | Accepting new patients | |
| Jawad a Shah, MD PC | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Current | Accepting new patients | |
| Flushing Road Urgent Care PC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Jawad a Shah MD PC | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Insight Urgent Care PC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
4800 S Saginaw St
Ste 1625
Flint, MI 48507
Phone (810) 275-9366
1301 Flushing Rd
Flint, MI 48504
Phone (810) 424-0759
4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152
4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108
1411 W Main St
Gaylord, MI 49735
Phone (630) 655-6748
15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103
1231 Pine Grove Ave
Ste 1B
Port Huron, MI 48060
Phone (810) 984-8650
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000
900 Cooper Ave
Ste 4400
Saginaw, MI 48602
Phone (989) 583-4401
Interoperability endpoints
- jdortman150326@direct.covenanthealthcare.com
Organizations & group practices 9
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.
-
dba Covenant HealthCare
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Emergency Medical Services (Emergency Medicine) Physician
- Flint, MI
- NPI 1346486222
-
- Specialist
- Flint, MI
- NPI 1942402391
-
dba Midc, LLC
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
MI, Nurse Practitioner
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Durable Medical Equipment & Medical Supplies
- Flint, MI
- NPI 1457079584
-
- Durable Medical Equipment & Medical Supplies
- Dearborn, MI
- NPI 1114667763
-
dba Midc
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Covenant Healthcare
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
dba Covenant Visiting Nurse Association
- Home Health Agency
- Saginaw, MI
- NPI 1073595245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1528791084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 S SAGINAW ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485072677",
"telephone_number": "810-347-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 COOPER AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025383",
"telephone_number": "989-583-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORTMAN",
"first_name": "JULIAN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704306815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.