Roseville Medical, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

JJ033038 Issued in MI

Legal business name

ROSEVILLE MEDICAL, P.C.

Practice address

25959 Kelly Rd
Suite a
Roseville, MI 48066-4991

Phone

(586) 774-9010

Fax

(586) 774-6758

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jitender Kumar Jain, M.D.NPI 1598784100

Title

Owner

Phone

(586) 774-9010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jitender K. Jain, M.D. PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Jitender Kumar Jain, M.D.

  • Hematology & Oncology Physician
  • Roseville, MI
  • NPI 1598784100
  Medicare reassignment NPD Authorized official
• Ashok K Gupta, MD

  • Interventional Cardiology Physician
  • Madison Heights, MI
  • NPI 1447234323

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1700917291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25959 KELLY RD",
            "address_2": "SUITE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664991",
            "telephone_number": "586-774-9010",
            "fax_number": "586-774-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25959 KELLY RD",
            "address_2": "SUITE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664991",
            "telephone_number": "586-774-9010",
            "fax_number": "586-774-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "JITENDER",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-774-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "JJ033038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0E018170",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jitender K. Jain, M.D. PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Francisco J Rodriguez, MD, P.C.
• Steven Robert Rogers, PA-C
• Vesna Luciya Roi, D.O.
• Kathleen M Rollinger, D.O.
• Todd R Rosenmayer, CCAR
• Roseville Mi Opco LLC
• Roseville RX, Inc.
• Roseville Urgent Care, PC
• Leona Rossbach
• Debra J. Rossie, CNM, MSN

• Specialist in Roseville, MI
• Providers in Roseville, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.