Neil D Jaddou MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NJ065821 Issued in MI

Legal business name

NEIL D JADDOU MD PC

Doing business as

SOMERSET FAMILY MEDICINE

Practice address

1615 W Big Beaver Rd
Troy, MI 48084-3539

Phone

(248) 816-1010

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Neil Jaddou, MDNPI 1386634632

Title

President

Phone

(248) 816-1010

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• SOMERSET FAMILY MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil Danial Jaddou, M.D.

  • Family Medicine Physician
  • Troy, MI
  • NPI 1386634632
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1679655823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843539",
            "telephone_number": "248-816-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843539",
            "telephone_number": "248-816-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL D JADDOU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "JADDOU",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-816-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "NJ065821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "H03134",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0806317921",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "080F339440",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "124427",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOMERSET FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bashar Nazo
• Nomsa Ndhlovu-Deng
• Avery Celeste Neale
• Nebulous Awakening, PLLC
• Sriya Krishna Neelam
• Samantha Neirynck
• Darcie Nelson
• Galen Nelson
• Reagan Nelson
• Sirisha Nemallapudi, D M D.

• Family Medicine Physician in Troy, MI
• Providers in Troy, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.