NPIMap

Individual provider Active NPI

Joyce M Yeghissian, DO

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1639154388
Registry record updated May 20, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
JY009250 Issued in MI
Practice address
29829 Telegraph Rd
Suite 100
Southfield, MI 48034
Phone
(248) 355-3033
Fax
(248) 355-4936
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X JY009250 MI Primary

Addresses

Primary practice location

29829 Telegraph Rd
Suite 100
Southfield, MI 48034

Mailing address

29829 Telegraph Rd
Suite 100
Southfield, MI 48034
Phone (248) 355-3033

Other identifiers 2

IdentifierTypeStateIssuer
700F37202OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
CB0701OtherMIMEDICARE RAIL ROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908000649 MI Practitioner - Internal Medicine 9032185392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franklin Medical Consultants PCGroup PAC ID 4284625500, 7 clinicians
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians

Practice addresses (Care Compare)

29829 Telegraph Rd
Southfield, MI 48034-7655
Phone (248) 355-3033

306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JY009250MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix LLC CurrentSince Dec 1, 2021 Accepting new patients
Franklin Medical Consultants, P.C. Internal Medicine CurrentSince Apr 27, 1993 Accepting new patients
Sciometrix Inc CurrentSince Jan 15, 2023 Accepting new patients
Franklin J Rosenblat DO PLLC Past Accepting new patients
Cardiology and Vascular Associates PC Past Accepting new patients
Cardiology and Vascular Associates PC Internal Medicine Past Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

29829 Telegraph Rd
Ste 100
Southfield, MI 48034
Phone (248) 354-1850

15565 Northland Dr W
Ste 700
Southfield, MI 48075

Organizations & group practices 6

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1639154388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-355-3033",
            "fax_number": "248-355-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-355-3033",
            "fax_number": "248-355-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGHISSIAN",
        "first_name": "JOYCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "JY009250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "700F37202",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "CB0701",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.