Active NPI
Jeffrey Scott Falk, MD
- Surgery Physician
- Grosse Pointe Woods, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301061424
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H231320 | Other | MI | BLUE 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
Enrollment records 1
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
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
- Henry Ford Health St John Hospital
- Henry Ford Health Warren Hospital
- Ascension Providence Hospital, Southfield and Novi
- Ascension Providence Rochester Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Henry Ford Semi Medical Group | Surgery | Current | Accepting new patients |
| Henry Ford Semi Medical Group | Surgery | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | 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.
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Endocrinology, Diabetes & Metabolism Physician
- Novi, MI
- NPI 1114133485
Surgery
-
- Surgery Physician
- Detroit, MI
- NPI 1629272968
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1023100500
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- Ophthalmology Physician
- Madison Heights, MI
- NPI 1114962461
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1649355918
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- Home Health Agency
- Warren, MI
- NPI 1295772184
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.