Active NPI
Jordan Matthew Correll, DO
- Family Medicine Physician
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101027450
- Practice address
- 32255 Northwestern Hwy Ste 130a
Farmington Hills, MI 48334-1566 - Phone
- (248) 723-5880
- Fax
- (248) 723-5889
- NPI assigned
- May 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101027450 | MI | Primary |
Addresses
Primary practice location
32255 Northwestern Hwy Ste 130a
Farmington Hills, MI 48334-1566
Mailing address
32255 Northwestern Hwy Ste 130a
Farmington Hills, MI 48334-1566
Phone (248) 723-5880
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
32255 Northwestern Hwy
Suite 130a
Farmington Hills, MI 48334-1566
Phone (248) 723-5880
Hospital & facility affiliations
- Optimal Care Home Health
- Beaumont Home Health
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Farmington Hills
- Ascension Providence Hospital, Southfield and Novi
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.86 of 100
- Quality
- 78.24
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 74.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Family Medicine | Current | Accepting new patients |
Locations
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
30000 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 551-5000
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
32255 Northwestern Hwy
Ste 130A
Farmington Hills, MI 48334
Phone (248) 723-5880
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
32255 Northwestern Hwy
Ste 130B
Farmington Hills, MI 48334
Phone (248) 354-9666
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- Home Health Agency
- Bingham Farms, MI
- NPI 1588697841
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1588288278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32255 NORTHWESTERN HWY STE 130A",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341566",
"telephone_number": "248-723-5880",
"fax_number": "248-723-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32255 NORTHWESTERN HWY STE 130A",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341566",
"telephone_number": "248-723-5880",
"fax_number": "248-723-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRELL",
"first_name": "JORDAN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-29",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101027450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.