Individual provider Active NPI

Jack Richard Tocco, D.O.

  • Gastroenterology Physician
  • Clinton Township, MI
National Provider Identifier
1649590001
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5101018917 Issued in MI
Practice address
37555 Garfield Road
Suite 125
Clinton Township, MI 48036-3066
Phone
(586) 263-7150
Fax
(586) 263-3212
NPI assigned
Jun 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X T200356738417 MI
Gastroenterology Physician 207RG0100X 5101018917 MI Primary

Addresses

Primary practice location

37555 Garfield Road
Suite 125
Clinton Township, MI 48036-3066

Mailing address

37555 Garfield Road
Suite 125
Clinton Township, MI 48036-3066
Phone (586) 263-7150

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
I20160621002184 MI Practitioner - Gastroenterology 1456655166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Troy Gastroenterology PCGroup PAC ID 9739143991, 47 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy88
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018917MIMDGastroenterology Physician
T200356738417MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Gastroenterology, PC Current Accepting new patients
Troy Gastroenterology PC Gastroenterology CurrentSince Mar 1, 2018 Accepting new patients
Troy Gastroenterology, PC Gastroenterology CurrentSince Mar 1, 2018 Accepting new patients
Pinnacle Anesthesia PLLC Past Accepting new patients

Locations

48801 Romeo Plank Rd
Ste 105
Macomb, MI 48044
Phone (586) 226-2722

48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

4600 Investment Dr
Ste 380
Troy, MI 48098
Phone (248) 267-5025

4600 Investment Dr
Ste 270
Troy, MI 48098
Phone (248) 267-6222

Interoperability endpoints

  • Direct secure messaging: jtocco281502@direct.hfhs.org
  • Direct secure messaging: jtocco@cdh.directglo.com

Organizations & group practices 4

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 4

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1649590001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37555 GARFIELD ROAD",
            "address_2": "SUITE 125",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363066",
            "telephone_number": "586-263-7150",
            "fax_number": "586-263-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37555 GARFIELD ROAD",
            "address_2": "SUITE 125",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363066",
            "telephone_number": "586-263-7150",
            "fax_number": "586-263-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOCCO",
        "first_name": "JACK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "T200356738417",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101018917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.