NPIMap

Individual provider Active NPI

Jeffrey Alan Triest, MD

  • Urology Physician
  • Dearborn, MI
National Provider Identifier
1730126228
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301058425 Issued in MI
Practice address
18100 Oakwood Blvd Ste 315
Dearborn, MI 48124-4085
Phone
(313) 271-0066
Fax
(313) 271-1047
NPI assigned
Jun 1, 2006
Last updated
Sep 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301058425 MI Primary

Addresses

Primary practice location

18100 Oakwood Blvd Ste 315
Dearborn, MI 48124-4085

Mailing address

20952 E 12 Mile Rd Ste 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820

Other practice location 1

19117 Allen Rd Ste A
Brownstown Twp, MI 48183-1066
Phone (734) 676-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000770 MI Practitioner - Urology 4082636758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians

Practice addresses (Care Compare)

18100 Oakwood Blvd
Suite 315
Dearborn, MI 48124-4085
Phone (313) 271-0066

19117 Allen Rd
Suite a
Brownstown TWP, MI 48183-1066
Phone (734) 676-4040

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Oct 1, 2006 Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology CurrentSince Aug 1, 2017 Accepting new patients
University Physician Group CurrentSince Oct 1, 2006 Accepting new patients
Michigan Institute of Urology PC Urology CurrentSince Aug 1, 2017 Accepting new patients
Crittenton Cancer Center Past Accepting new patients
University Urology Urology Past Accepting new patients

Locations

19117 Allen Rd
#A
Brownstown Twp, MI 48183
Phone (734) 675-0835

18100 Oakwood Blvd
Ste 300
Dearborn, MI 48124
Phone (313) 240-4900

18100 Oakwood Blvd
Ste 315
Dearborn, MI 48124
Phone (313) 271-0066

261 Mack Ave
Detroit, MI 48201
Phone (313) 745-1100

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4160 John R St
Ste 1021
Detroit, MI 48201
Phone (313) 833-3320

4201 Saint Antoine St
#8A
Detroit, MI 48201
Phone (313) 577-1242

41935 W Twelve Mile Rd
Ste 303
Novi, MI 48377
Phone (248) 347-8130

1901 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4580

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1730126228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD STE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813203",
            "telephone_number": "586-771-4820",
            "fax_number": "586-771-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD STE 315",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244085",
            "telephone_number": "313-271-0066",
            "fax_number": "313-271-1047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19117 Allen Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Brownstown Twp",
            "state": "MI",
            "postal_code": "481831066",
            "country_code": "US",
            "telephone_number": "734-676-4040",
            "fax_number": "734-676-9897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIEST",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301058425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.