Individual provider Active NPI

Jennifer G Kaiserblase, MD

  • Obstetrics & Gynecology Physician
  • Royal Oak, MI
National Provider Identifier
1649486101
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301083988 Issued in MI
Practice address
326 N Main St
Royal Oak, MI 48067-4121
Phone
(284) 584-7600
NPI assigned
May 14, 2007
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301083988 MI
Obstetrics & Gynecology Physician 207V00000X 4301083988 MI Primary

Addresses

Primary practice location

326 N Main St
Royal Oak, MI 48067-4121

Mailing address

326 N Main St
Royal Oak, MI 48067-4121
Phone (248) 584-7600

Other practice location 1

30701 Woodward Ave
Suite S200
Royal Oak, MI 48073-0987
Phone (248) 584-7600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000153 MI Practitioner - Obstetrics/Gynecology 0446327332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Together Women's Health Medical Group, P.C.Group PAC ID 2466543640, 74 clinicians

Practice addresses (Care Compare)

326 N Main St
Royal Oak, MI 48067-4121
Phone (248) 584-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301083988MIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph a Beals MD, PC Obstetrics & Gynecology CurrentSince Mar 26, 2024 Accepting new patients
Together Women's Health Medical Group, P.C. Obstetrics & Gynecology CurrentSince Mar 26, 2024 Accepting new patients

Locations

390 Park St
Ste 109
Birmingham, MI 48009
Phone (248) 647-5660

29751 Little Mack Ave
Ste B
Roseville, MI 48066

326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600

Interoperability endpoints

  • Direct secure messaging: jennifer.kaiserblase.1@23349.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1649486101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674121",
            "telephone_number": "248-584-7600",
            "fax_number": "248-584-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674121",
            "telephone_number": "284-584-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30701 Woodward Ave",
            "address_2": "Suite S200",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480730987",
            "country_code": "US",
            "telephone_number": "248-584-7600",
            "fax_number": "248-584-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISERBLASE",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301083988",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301083988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.