Individual provider Active NPI

Claudia Denisse Jarrin Tejada, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1649583063
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301106330 Issued in MI
Practice address
8044 W Vernor Hwy
Detroit, MI 48209-1522
Phone
(313) 908-2233
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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 4301106330 MI Primary

Addresses

Primary practice location

8044 W Vernor Hwy
Detroit, MI 48209-1522

Mailing address

8044 W Vernor Hwy
Detroit, MI 48209-1522
Phone (313) 908-2233

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
I20150522000603 MI Practitioner - Infectious DiseasePractitioner - Internal Medicine 4486895323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Partners - Physician SpecialistGroup PAC ID 2163572991, 66 clinicians

Practice addresses (Care Compare)

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3027

1675 Leahy St
Suite 301a
Muskegon, MI 49442-5543
Phone (231) 672-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.47
Improvement activities
40
Cost
69.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Mercy Health Partners - Physician Specialist Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
West Shore Cardiology, PLC Past Accepting new patients

Locations

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

1675 Leahy St
Ste 301A
Muskegon, MI 49442
Phone (231) 672-8300

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

Organizations & group practices 3

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 2

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1649583063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091522",
            "telephone_number": "313-908-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482091522",
            "telephone_number": "313-908-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRIN TEJADA",
        "first_name": "CLAUDIA",
        "middle_name": "DENISSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301106330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.