Active NPI
Jonathon Faber, D.O.
- Family Medicine Physician
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101017744
- Practice address
- 42350 Grand River Ave
Novi, MI 48375-1838 - Phone
- (248) 697-2942
- Fax
- (248) 436-6628
- NPI assigned
- Jun 29, 2008
- Last updated
- Sep 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101017744 | MI | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 5101017744 | MI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 34.010276 | OH |
Addresses
Primary practice location
42350 Grand River Ave
Novi, MI 48375-1838
Mailing address
42350 Grand River Ave
Novi, MI 48375-1838
Phone (248) 697-2942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0054412 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
33010 Northwestern Hwy
West Bloomfield, MI 48322-3634
42350 Grand River Ave
Novi, MI 48375-1838
Phone (248) 697-2942
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.73 of 100
- Quality
- 78.82
- Improvement activities
- 40
- Cost
- 73.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101017744 | MI | MD | Sports Medicine (Family Medicine) Physician |
| 34.010276 | OH | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcentral Professional Association Inc. | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Novi, MI
- NPI 1992334551
-
- Physical Therapy Clinic/Center
- West Bloomfield, MI
- NPI 1962512202
-
- Anesthesiology Physician
- Mansfield, OH
- NPI 1306878863
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1700048915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42350 GRAND RIVER AVE",
"city": "NOVI",
"state": "MI",
"postal_code": "483751838",
"telephone_number": "248-697-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42350 GRAND RIVER AVE",
"city": "NOVI",
"state": "MI",
"postal_code": "483751838",
"telephone_number": "248-697-2942",
"fax_number": "248-436-6628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABER",
"first_name": "JONATHON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-29",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101017744",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MI",
"license": "5101017744",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OH",
"license": "34.010276",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0054412",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.