Individual provider Active NPI

Jeffrey Scott Falk, MD

  • Surgery Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1700859055
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301061424 Issued in MI
Practice address
19229 Mack Ave
Suite 34
Grosse Pointe Woods, MI 48236-2858
Phone
(313) 647-3900
Fax
(313) 647-3902
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301061424 MI Primary

Addresses

Primary practice location

19229 Mack Ave
Suite 34
Grosse Pointe Woods, MI 48236-2858

Mailing address

19229 Mack Ave
38
Grosse Pointe Woods, MI 48236-2858
Phone (313) 647-3912

Other identifiers 1

IdentifierTypeStateIssuer
0H231320OtherMIBLUE CROSS GROUP

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
I20070928000528 MI Practitioner - General Surgery 6608961156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians
Henry Ford Health St. John HospitalGroup PAC ID 3173424082, 332 clinicians

Practice addresses (Care Compare)

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

19229 Mack Ave
Suite 34
Grosse Pointe Woods, MI 48236-2857
Phone (313) 647-3252

22201 Moross Rd
Suite 214
Detroit, MI 48236-2169
Phone (313) 343-7110

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Warren, MI, CCN 237081
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Surgery CurrentSince Dec 1, 2018 Accepting new patients
Henry Ford Semi Medical Group Surgery CurrentSince Jan 1, 2008 Accepting new patients
Henry Ford Semi Medical Group Surgery CurrentSince Jan 1, 2008 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Dec 1, 2018 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
St. John Hospital Past Accepting new patients

Locations

2251 N Squirrel Rd
Ste 125
Auburn Hills, MI 48326
Phone (248) 340-1600

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22201 Moross Rd
Ste 252
Grosse Pointe, MI 48236
Phone (313) 343-4411

19229 Mack Ave
Ste 38
Grosse Pointe Woods, MI 48236
Phone (313) 647-3900

19229 Mack Ave
Ste 34
Grosse Pointe Woods, MI 48236
Phone (313) 647-3245

17900 23 Mile Rd
Ste 203
Macomb, MI 48044
Phone (586) 263-7400

17900 23 Mile Rd
Ste 407
Macomb, MI 48044
Phone (586) 868-9008

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

Organizations & group practices 9

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 6

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1700859055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE",
            "address_2": "38",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362858",
            "telephone_number": "313-647-3912",
            "fax_number": "313-647-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE",
            "address_2": "SUITE 34",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362858",
            "telephone_number": "313-647-3900",
            "fax_number": "313-647-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301061424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "0H231320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.