Individual provider Active NPI

Jennifer Kristine Caruso, D.O.

  • Maternal & Fetal Medicine Physician
  • Saginaw, MI
National Provider Identifier
1558596015
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
5101018168 Issued in MI
Practice address
1000 Houghton Ave
Saginaw, MI 48602-5303
Phone
(989) 746-7500
Fax
(989) 746-7723
NPI assigned
May 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101018168 MI
Obstetrics & Gynecology Physician 207V00000X OS016329 PA
Maternal & Fetal Medicine Physician 207VM0101X 5101018168 MI Primary

Addresses

Primary practice location

1000 Houghton Ave
Saginaw, MI 48602-5303

Mailing address

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 746-7500

Other practice location 1

22255 Greenfield Rd
Suite 350
Southfield, MI 48075-3710
Phone (248) 849-2710

Other identifiers 10

IdentifierTypeStateIssuer
2884237OtherPAHIGHMARK BLUE SHIELD
30152919OtherPAAMERIHEALTH CARITAS, PA - WMG - THFPC
30153197OtherPAAMERIHEALTH CARITAS, PA - WMG - YWHC
065773500MedicaidMD
1622982OtherPAGATEWAY
30152902OtherPAAMERIHEALTH CARITAS, PA - YH OB TEACHING
30153192OtherPAAMERIHEALTH CARITAS, PA - WMG - WS YORK HOSP OB/GYN
420140OtherPAUPMC
102804570MedicaidPA
30153194OtherPAAMERIHEALTH CARITAS, PA - WMG - MATERNAL FETAL MED.

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcaruso177521@direct.covenanthealthcare.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810001517 MI Practitioner - Obstetrics/Gynecology 0244478394 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saginaw Cooperative Hospitals IncGroup PAC ID 3971400318, 74 clinicians

Practice addresses (Care Compare)

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 583-6800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018168MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Sep 1, 2016 Accepting new patients
Henry Ford Health Providence Hospital Obstetrics & Gynecology Current Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince Dec 25, 2023 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Oct 1, 2016 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Henry Ford Health Providence Hospital Obstetrics & Gynecology CurrentSince Sep 1, 2016 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Obstetrics & Gynecology CurrentSince Oct 1, 2016 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Dec 25, 2023 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Feb 25, 2025 Accepting new patients
Saginaw Cooperative Hospitals, Inc Obstetrics & Gynecology CurrentSince Feb 25, 2025 Accepting new patients
Henry Ford Health System Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22151 Moross Rd
Ste 320B
Detroit, MI 48236

30055 Northwestern Hwy
Ste 235
Farmington Hills, MI 48334
Phone (248) 737-4600

22201 Moross Rd
Ste 370
Grosse Pointe Woods, MI 48236
Phone (313) 343-4585

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

47601 Grand River Ave
Ste A221
Novi, MI 48374
Phone (248) 380-8280

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

22250 Providence Dr
Fl 5
Southfield, MI 48075
Phone (248) 849-3441

22255 Greenfield Rd
Ste 350
Southfield, MI 48075
Phone (248) 849-2710

11012 E 13 Mile Rd
Ste 212
Warren, MI 48093
Phone (586) 582-7090

11885 E 12 Mile Rd
Ste 202A
Warren, MI 48093
Phone (586) 582-7060

Interoperability endpoints

  • Direct secure messaging: jcaruso367693@direct.hfhs.org
  • Direct secure messaging: jcaruso177521@direct.covenanthealthcare.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1558596015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "989-746-7500",
            "fax_number": "989-746-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOUGHTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025303",
            "telephone_number": "989-746-7500",
            "fax_number": "989-746-7723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22255 Greenfield Rd",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753710",
            "country_code": "US",
            "telephone_number": "248-849-2710",
            "fax_number": "248-849-4024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "JENNIFER",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101018168",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS016329",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "5101018168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2884237",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS, PA - WMG - THFPC",
            "identifier": "30152919",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS, PA - WMG - YWHC",
            "identifier": "30153197",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065773500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1622982",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS, PA - YH OB TEACHING",
            "identifier": "30152902",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS, PA - WMG - WS YORK HOSP OB/GYN",
            "identifier": "30153192",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "420140",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102804570",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS, PA - WMG - MATERNAL FETAL MED.",
            "identifier": "30153194",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcaruso177521@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "1000 Houghton Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486025303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.