Active NPI
Jeremy Lott, D.O.
- Emergency Medicine Physician
- Madison Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036145520
- Practice address
- 27351 Dequindre Rd
Madison Heights, MI 48071 - Phone
- (248) 967-7795
- Fax
- (248) 967-7794
- NPI assigned
- Jul 12, 2011
- Last updated
- Feb 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101019558 | MI | |
| Emergency Medicine Physician | 207P00000X | 2928-321 | WI | |
| Emergency Medicine Physician | 207P00000X | 036145520 | IL | Primary |
Addresses
Primary practice location
27351 Dequindre Rd
Madison Heights, MI 48071
Mailing address
27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-4000
835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 433-0111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.74 of 100
- Quality
- 73.23
- Improvement activities
- 40
- Cost
- 82.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036145520 | IL | MD | Emergency Medicine Physician |
| 2928-321 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Vituity-Wisconsin Em SC | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Vituity-Wisconsin Em SC | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Vituity-Wisconsin Em SC | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Vituity-Wisconsin Em SC | Emergency Medicine | Past | Accepting new patients |
| Vituity-Wisconsin Em SC | Emergency Medicine | Past | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
855 S Main St
Oconto Falls, WI 54154
Phone (920) 846-3444
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Pleasant Prairie, WI
- NPI 1326730664
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Emergency Medicine Physician
- Berwyn, IL
- NPI 1548546427
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
-
- Emergency Medicine Physician
- Oconto Falls, WI
- NPI 1710754296
-
- Emergency Medicine Physician
- Green Bay, WI
- NPI 1902673486
-
- Emergency Medicine Physician
- Green Bay, WI
- NPI 1558138255
-
- Emergency Medicine Physician
- Sheboygan, WI
- NPI 1902673478
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
-
dba St. Nicholas Hospital Renal Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sheboygan, WI
- NPI 1427009992
Hospital
-
dba St Nicholas Hospital
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1730184342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1720376718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27351 DEQUINDRE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480713487",
"telephone_number": "248-967-7795",
"fax_number": "248-967-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27351 DEQUINDRE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "48071",
"telephone_number": "248-967-7795",
"fax_number": "248-967-7794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "JEREMY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-12",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101019558",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "2928-321",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036145520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.