Individual provider Active NPI

Jason Hawkins, DO

  • Family Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1720466790
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101021721 Issued in MI
Practice address
27620 Farmington Rd Ste 110
Farmington Hills, MI 48334-3367
Phone
(734) 249-8064
Fax
(313) 241-9533
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101021721 MI Primary

Addresses

Primary practice location

27620 Farmington Rd Ste 110
Farmington Hills, MI 48334-3367

Mailing address

35984 Quakertown LN
Farmington Hills, MI 48331-3807
Phone (313) 980-7067

Other practice location 1

35984 Quakertown Ln
Farmington Hills, MI 48331-3807
Phone (313) 980-7067

Other practice location 2

3055A Hilton Rd
Ferndale, MI 48220-1070
Phone (734) 249-8064

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
I20150723009234 MI Order and Referring Only - Family PracticePractitioner - Family Practice 2466765136

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

641 W 9 Mile Rd D
Novacare Rehabilitation
Ferndale, MI 48220-1779
Phone (248) 951-9080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FHJZ, LLC Family Medicine CurrentSince Jun 9, 2024 Accepting new patients

Locations

27620 Farmington Rd
Ste 110
Farmington Hills, MI 48334
Phone (734) 249-8064

3055 Hilton Rd
#A
Ferndale, MI 48220
Phone (734) 249-8064

Interoperability endpoints

  • Direct secure messaging: jhawkins454114@direct.hfhs.org

Organizations & group practices 1

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1720466790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35984 QUAKERTOWN LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313807",
            "telephone_number": "313-980-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27620 FARMINGTON RD STE 110",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343367",
            "telephone_number": "734-249-8064",
            "fax_number": "313-241-9533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35984 Quakertown Ln",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483313807",
            "country_code": "US",
            "telephone_number": "313-980-7067",
            "fax_number": "313-241-9533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3055A Hilton Rd",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "MI",
            "postal_code": "482201070",
            "country_code": "US",
            "telephone_number": "734-249-8064",
            "fax_number": "313-241-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101021721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.