Individual provider Active NPI

Joshua Vollstaedt, D.O.

  • Pulmonary Disease Physician
  • Royal Oak, MI
National Provider Identifier
1538517131
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5101022390 Issued in MI
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

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1538517131MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230609002752 OH Practitioner - Internal Medicine 3375838246 Reassigns benefits to 1 organization
I20231108003297 OK Practitioner - Internal MedicinePractitioner - Pulmonary Disease 3375838246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Michigan State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians

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 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Allen Intensivist Group LLC Critical Care Medicine CurrentSince May 1, 2023 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Aug 29, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.