Active NPI
Joshua Vollstaedt, D.O.
- Pulmonary Disease Physician
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 5101022390
- Practice address
- 4346 Mandalay Ave
Royal Oak, MI 48073-1621 - Phone
- (810) 434-6139
- NPI assigned
- May 25, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101022390 | MI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 5101022390 | MI | |
| Pulmonary Disease Physician | 207RP1001X | 5101022390 | MI | Primary |
Addresses
Primary practice location
4346 Mandalay Ave
Royal Oak, MI 48073-1621
Mailing address
4346 Mandalay Ave
Royal Oak, MI 48073-1621
Phone (810) 434-6139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538517131 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Intensivist Group LLC | Critical Care Medicine | Current | Accepting new patients |
| Norman Regional Providers Specialty Care | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
Interoperability endpoints
- jvollstaedt282719@direct.hfhs.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Norman, OK
- NPI 1548513773
-
- Critical Care Medicine (Internal Medicine) Physician
- Lima, OH
- NPI 1811620057
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1538517131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4346 MANDALAY AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480731621",
"telephone_number": "810-434-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4346 MANDALAY AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480731621",
"telephone_number": "810-434-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLLSTAEDT",
"first_name": "JOSHUA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2022-08-04",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101022390",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MI",
"license": "5101022390",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "5101022390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538517131",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.