Active NPI
Jennifer Castillo Podgorny, PA-C
- Physician Assistant
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 18181 Oakwood Blvd Ste 403
Dearborn, MI 48124-3960 - Phone
- (313) 438-5560
- Fax
- (313) 438-5575
- NPI assigned
- Jun 13, 2007
- Last updated
- Mar 5, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
18181 Oakwood Blvd Ste 403
Dearborn, MI 48124-3960
Mailing address
25500 Meadowbrook Rd Ste 150
Novi, MI 48375-1880
Phone (248) 784-3667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601005056 | Other | MI | STATE LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpodgor1@direct.hfhs.org | ||
| Direct Messaging Address | jennifer.podgorny.p1@direct.mhsineuro.nextgenshare.com |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15717 15 Mile Rd
Clinton Township, MI 48035-2101
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
18181 Oakwood Blvd
Suite 403
Dearborn, MI 48124-3960
Phone (877) 784-3667
29275 Northwestern Hwy
Suite 100
Southfield, MI 48034-5700
Phone (248) 351-6300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| University Neurosurgical Associates, PC | Current | Accepting new patients | |
| University Neurosurgical Associates, PC | Current | Accepting new patients | |
| University Neurosurgical Associates | Past | Accepting new patients | |
| Oakwood Group IX, LLC | Past | Accepting new patients |
Locations
2319 Momentum Pl
Chicago, IL 60689
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
18181 Oakwood Blvd
Ste 403
Dearborn, MI 48124
Phone (313) 438-5560
25500 Meadowbrook Rd
Ste 150
Novi, MI 48375
Phone (248) 784-3667
29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300
Interoperability endpoints
- jennifer.podgorny.p1@direct.mhsineuro.nextgenshare.com
- jpodgorny282285@direct.hfhs.org
Organizations & group practices 7
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.
-
dba Henry Ford Macomb Family Medicine
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
dba Michigan Head and Spine Institute
- Specialist
- Southfield, MI
- NPI 1699761379
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
dba Michigan Head and Spine Institute, PC
- Neurological Surgery Physician
- Dearborn, MI
- NPI 1447307558
-
dba Michigan Head and Spine Institute
- Neurological Surgery Physician
- Trenton, MI
- NPI 1497379671
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1720050917
-
dba Michigan Head and Spine Institute PC
- Neurological Surgery Physician
- Pontiac, MI
- NPI 1205983210
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Taylor
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
dba Beaumont Hospital - Trenton
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1710181813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25500 MEADOWBROOK RD STE 150",
"city": "NOVI",
"state": "MI",
"postal_code": "483751880",
"telephone_number": "248-784-3667",
"fax_number": "248-869-3982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18181 OAKWOOD BLVD STE 403",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243960",
"telephone_number": "313-438-5560",
"fax_number": "313-438-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODGORNY",
"first_name": "JENNIFER",
"middle_name": "CASTILLO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5601005056",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpodgor1@direct.hfhs.org",
"affiliation": "N",
"address_1": "2799 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer.podgorny.p1@direct.mhsineuro.nextgenshare.com",
"affiliation": "N",
"address_1": "18181 Oakwood Blvd Ste 403",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481243960",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.