Individual provider Active NPI

Jean R Pierre-Paul Sr., MD

  • Adult Medicine Physician
  • Southfield, MI
National Provider Identifier
1578522686
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD00021071 Issued in WA
Practice address
17260 W 10 Mile Rd
Southfield, MI 48075-2949
Phone
(248) 809-6553
Fax
(248) 809-6583
NPI assigned
Mar 20, 2006
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X MD00021071 WA Primary

Addresses

Primary practice location

17260 W 10 Mile Rd
Southfield, MI 48075-2949

Mailing address

17260 W 10 Mile Rd
Southfield, MI 48075-2949
Phone (248) 809-6553

Other names 1

  • Dr. Jean Rommel Pierre-Paul Sr. Professional name

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
I20090126000345 MI Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 1951465608 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00021071WAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenfield and 9 Mile Medical Center PLLC CurrentSince Oct 1, 2024 Accepting new patients
Quality Behavioral Health, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Greenfield and 9 Mile Medical Center PLLC CurrentSince Oct 1, 2024 Accepting new patients
Housecall Medical LLC PastSince Apr 1, 2013 Accepting new patients
Medical Marijuanna Certification and Family Practice, PC PastSince Apr 21, 2010 Accepting new patients
Joyce Alexander & Associates, P.C. Past Accepting new patients
Visiting Doctors PC PastSince Feb 22, 2008 Accepting new patients

Locations

20820 Greenfield Rd
Oak Park, MI 48237
Phone (248) 557-3303

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFICCD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1578522686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17260 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752949",
            "telephone_number": "248-809-6553",
            "fax_number": "248-809-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17260 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752949",
            "telephone_number": "248-809-6553",
            "fax_number": "248-809-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE-PAUL",
        "first_name": "JEAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WA",
            "license": "MD00021071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "PIERRE-PAUL",
            "middle_name": "ROMMEL",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.