NPIMap

Individual provider Active NPI

Jinson Jose, M.D

  • Infectious Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1659605582
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301085938 Issued in MI
Practice address
1349 S Rochester Rd
Suite 115
Rochester Hills, MI 48307-3150
Phone
(248) 759-4852
Fax
(248) 299-9860
NPI assigned
Sep 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301085938 MI Primary

Addresses

Primary practice location

1349 S Rochester Rd
Suite 115
Rochester Hills, MI 48307-3150

Mailing address

1349 S Rochester Rd
Suite 115
Rochester Hills, MI 48307-3150
Phone (248) 759-4852

Other identifiers 2

IdentifierTypeStateIssuer
0F32901OtherMIBCBS OF MICHIGAN
1659605582MedicaidMI

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
I20100920001109 MI Practitioner - Infectious DiseasePractitioner - Internal Medicine 4082739685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bishr Ujayli MD PCGroup PAC ID 0042274847, 4 clinicians

Practice addresses (Care Compare)

1349 S Rochester Rd
Suite 115
Rochester Hills, MI 48307-3151
Phone (248) 759-4852

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
89.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301085938MIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bishr Ujayli MD PC Infectious Disease CurrentSince Jul 1, 2010 Accepting new patients

Locations

1349 S Rochester Rd
Ste 115
Rochester Hills, MI 48307
Phone (248) 299-9850

25710 Kelly Rd
Ste 3
Roseville, MI 48066
Phone (586) 291-5669

25710 Kelly Rd
Roseville, MI 48066
Phone (586) 772-2600

Organizations & group practices 1

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 7

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1659605582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD",
            "address_2": "SUITE 115",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073150",
            "telephone_number": "248-759-4852",
            "fax_number": "248-299-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD",
            "address_2": "SUITE 115",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073150",
            "telephone_number": "248-759-4852",
            "fax_number": "248-299-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "JINSON",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301085938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0F32901",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659605582",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.