Peter Jajou, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101020929 Issued in MI

Practice address

18285 E 10 Mile Rd Ste 130
Roseville, MI 48066

Phone

(586) 776-7546

NPI assigned

Apr 23, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Dermatology

Education

Michigan State University College of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Promoting interoperability

88

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.jajou@qdp.emadirect.md
• Direct secure messaging: pjajou1133183@direct.hfhs.org

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.

• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  MI

  Medicare reassignment Care Compare group
• A Comprehensive Dermatology Center

  • Specialist
  • Troy, MI
  • NPI 1750518031
  Medicare reassignment NPD
• Audrey Bruell, M.D. P.C.

  • Dermatology Physician
  • Livonia, MI
  • NPI 1306965983
  NPD
• Harper Dermatology P.C.

  • Clinic/Center
  • Roseville, MI
  • NPI 1598032070
  NPD (past)

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1609296144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18285 E 10 MILE RD STE 130",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665806",
            "telephone_number": "586-776-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18285 E 10 MILE RD STE 130",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "48066",
            "telephone_number": "586-776-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 W Big Beaver Rd Ste C12",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "48084",
            "country_code": "US",
            "telephone_number": "248-643-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 W Big Beaver Rd Ste C12",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "48084",
            "country_code": "US",
            "telephone_number": "248-643-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAJOU",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "5101020929",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101020929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J H Park MD PC
• J.L. Colon, DDS, PLLC
• Melonie Jackson
• Tynetta Jackson
• Jitender Kumar Jain, M.D.
• Carolyn James
• Kishan Kumar Jasti, M.D.
• Schrell Nicole Jenkins, LPN
• Jocelyn M. Robelli DDS, Ms, PLLC
• John a. Vollmer, MD, PC

• Dermatology Physician in Roseville, MI
• Providers in Roseville, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.

Verify at the official NPI Registry.