Active NPI
Jared Irvin Tucker, MD
- Internal Medicine Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301502923
- Practice address
- 29667 Wentworth St
Livonia, MI 48154-6231 - Phone
- (734) 261-9000
- NPI assigned
- Apr 13, 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 | 4301502923 | MI | Primary |
| Hospitalist Physician | 208M00000X | 64687 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
29667 Wentworth St
Livonia, MI 48154-6231
Mailing address
PO Box 247
Novi, MI 48376-0247
Phone (440) 281-0875
Other practice location 1
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-1008
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OSP | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000
Hospital & facility affiliations
- Tristar Centennial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of TN, LLC | Hospitalist | Current | Accepting new patients |
Locations
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
2300 Patterson St
#M
Nashville, TN 37203
Interoperability endpoints
- jtucker698947@direct.trinity-health.org
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Nashville, TN
- NPI 1982301065
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1548624729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "NOVI",
"state": "MI",
"postal_code": "483760247",
"telephone_number": "440-281-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29667 WENTWORTH ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481546231",
"telephone_number": "734-261-9000"
}
],
"practiceLocations": [
{
"address_1": "6071 W Outer Dr",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482352624",
"country_code": "US",
"telephone_number": "313-966-1008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "JARED",
"middle_name": "IRVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-13",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301502923",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "64687",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OSP",
"affiliation": "N",
"endpointDescription": "Point Click Care",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "ACO",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "29667 Wentworth St",
"city": "Livonia",
"state": "MI",
"country_code": "US",
"postal_code": "481546231",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.