Active NPI
James Paul Rosbolt, D.O.
- Family Medicine Physician
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101015500
- Practice address
- 21400 E 11 Mile Rd
Saint Clair Shores, MI 48081-1566 - Phone
- (586) 498-4400
- Fax
- (586) 498-4440
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 5101015500 | MI | |
| Family Medicine Physician | 207Q00000X | 5101015500 | MI | Primary |
Addresses
Primary practice location
21400 E 11 Mile Rd
Saint Clair Shores, MI 48081-1566
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jrosbolt22343@direct.beaumont.edu |
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
- Michigan State University College of Human Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16815 E Jefferson Ave
Grosse Pointe, MI 48230-1923
201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1000
Hospital & facility affiliations
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital Royal Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Beaumont Hospital | Current | Accepting new patients | |
| William Beaumont Hospital | Current | Accepting new patients | |
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| William Beaumont Hospital | Current | Accepting new patients | |
| Oakwood Ambulatory LLC | Family Medicine | Current | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
16815 E Jefferson Ave
Ste 120
Grosse Pointe Shores, MI 48230
Phone (586) 498-4400
468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000
29751 Little Mack Ave
Roseville, MI 48066
Phone (586) 447-4100
3601 W 13 Mile Rd
Royal Oak, MI 48073
26001 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 779-7000
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
21400 E 11 Mile Rd
St Clr Shores, MI 48081
Phone (586) 498-4400
Interoperability endpoints
- james.rosbolt.1@20091.direct.athenahealth.com
- jrosbolt22343@direct.beaumont.edu
- james.rosbolt.1@14250.direct.athenahealth.com
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1083833875
-
- Podiatrist
- Westland, MI
- NPI 1013157361
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1629093158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21400 E 11 MILE RD",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811566",
"telephone_number": "586-498-4400",
"fax_number": "586-498-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSBOLT",
"first_name": "JAMES",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "MI",
"license": "5101015500",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101015500",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jrosbolt22343@direct.beaumont.edu",
"affiliation": "N",
"address_1": "21400 E 11 Mile Rd",
"city": "Saint Clair Shores",
"state": "MI",
"country_code": "US",
"postal_code": "480811566",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.