James Robert Tisius III, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301101774 Issued in MI

Practice address

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Phone

(313) 593-7000

Fax

(313) 436-2061

NPI assigned

Aug 3, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians

Meadowbrook Primary Care PLLCGroup PAC ID 2769700160, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John Paul Home Hospice Hospice, Bingham Farms, MI, CCN 231686
• Community Hospice Care, LLC Hospice, Brighton, MI, CCN 231703
• Seasons Hospice & Palliative Care of Michigan Hospice, Madison Heights, MI, CCN 231601
• Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
• Optalis Health and Rehabilitation of Canton Nursing home, Canton, MI, CCN 235618
• Cherry Hill for Nursing and Rehabilitation Nursing home, Westland, MI, CCN 235228
• The Orchards at Wayne Nursing home, Wayne, MI, CCN 235521
• Maple Manor Rehab Center Nursing home, Wayne, MI, CCN 235613

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtisius1259073@epic00.shdirect.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• John Paul Home Hospice LLC

  • Community Based Hospice Care Agency
  • Bingham Farms, MI
  • NPI 1568086056

  W-2 Managing Employee

  CMS ownership

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.

• Beaumont Medical Group Hospital -Based Services

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1427567858
  Medicare reassignment Care Compare group NPD
• Meadowbrook Primary Care, PLLC

  • Nursing Care Agency
  • Canton, MI
  • NPI 1154712073
  Medicare reassignment Care Compare group NPD
• Oakwood Ambulatory LLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1003829441
  Medicare reassignment NPD
• Oakwood Ambulatory, LLC

  • Podiatrist
  • Westland, MI
  • NPI 1013157361
  NPD
• Cherry Hill Opco LLC

  • Skilled Nursing Facility
  • Westland, MI
  • NPI 1225682958
  NPD (past)
• Maple Manor Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Wayne, MI
  • NPI 1053306019
  NPD (past)
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Wayne, MI
  • NPI 1295785285
  NPD (past)
• Optalis Canton Opco LLC

  • Skilled Nursing Facility
  • Canton, MI
  • NPI 1780380360
  NPD (past)
• Wayne Mi Opco LLC

  • Skilled Nursing Facility
  • Wayne, MI
  • NPI 1548932163
  NPD (past)
• Westland Nursing and Rehabilitation Centre, LLC

  • Skilled Nursing Facility
  • Westland, MI
  • NPI 1750555330
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cherry Hill Opco LLC

  • Skilled Nursing Facility
  • Westland, MI
  • NPI 1225682958

  Nursing home

  Care Compare affiliation
• Community Hospice Care LLC

  • Community Based Hospice Care Agency
  • Brighton, MI
  • NPI 1598432403
  Care Compare affiliation
• John Paul Home Hospice LLC

  • Community Based Hospice Care Agency
  • Bingham Farms, MI
  • NPI 1568086056
  Care Compare affiliation
• Maple Manor Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Wayne, MI
  • NPI 1053306019

  Nursing home

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Wayne, MI
  • NPI 1295785285
  Care Compare affiliation
• Optalis Canton Opco LLC

  • Skilled Nursing Facility
  • Canton, MI
  • NPI 1780380360

  Nursing home

  Care Compare affiliation
• Seasons Hospice & Palliative Care of Michigan, LLC

  • Community Based Hospice Care Agency
  • Madison Heights, MI
  • NPI 1306891825
  Care Compare affiliation
• Wayne Mi Opco LLC

  • Skilled Nursing Facility
  • Wayne, MI
  • NPI 1548932163

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1609122084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-593-7000",
            "fax_number": "313-436-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-593-7000",
            "fax_number": "313-436-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISIUS",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301101774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.