Individual provider Active NPI

Jasmine Alsukhon, MD

  • Allergy Physician
  • Novi, MI
National Provider Identifier
1710335716
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
4301117267 Issued in MI
Practice address
39595 W 10 Mile Rd
Ste 111
Novi, MI 48375-2948
Phone
(248) 346-2945
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301117267 MI
Allergy Physician 207KA0200X 4301117267 MI Primary
Allergy & Immunology Physician 207K00000X 4301117267 MI

Addresses

Primary practice location

39595 W 10 Mile Rd
Ste 111
Novi, MI 48375-2948

Mailing address

39595 W 10 Mile Rd Ste 111
Novi, MI 48375-2948
Phone (248) 924-9940

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
I20210326000331 MI Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4082901285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

39595 W 10 Mile Rd
Suite 111
Novi, MI 48375-2948
Phone (248) 346-2945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301117267MIMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Allergy Suite Allergy & Immunology CurrentSince Feb 1, 2021 Accepting new patients
Vitality Nutrition PastSince Feb 1, 2021 Accepting new patients

Locations

39595 W 10 Mile Rd
Ste 111
Novi, MI 48375
Phone (248) 346-2945

Interoperability endpoints

  • Direct secure messaging: jalsukhon564957@direct.hfhs.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1710335716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39595 W 10 MILE RD STE 111",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752948",
            "telephone_number": "248-924-9940",
            "fax_number": "415-728-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39595 W 10 MILE RD",
            "address_2": "STE 111",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752948",
            "telephone_number": "248-346-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSUKHON",
        "first_name": "JASMINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301117267",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "4301117267",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301117267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.