Individual provider Active NPI

John H Traylor III, M.D.

  • Anesthesiology Physician
  • Southfield, MI
National Provider Identifier
1760418784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301048947 Issued in MI
Practice address
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone
(248) 849-3000
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301048947 MI Primary

Addresses

Primary practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

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
I20040420001634 MI Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 8527956689 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Michigan State University College of Human Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northland Anesthesia Associates PCGroup PAC ID 5294623336, 20 clinicians
Michigan Pain Management Consultants, PCGroup PAC ID 5092709428, 2 clinicians
Michigan Pain Management Consultants-West, PCGroup PAC ID 2961580287, 2 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

16001 W Nine Mile
Southfield, MI 48075-4818
Phone (248) 746-5896

21700 Northwestern Hwy
Suite 600
Southfield, MI 48075-4912
Phone (248) 849-3192

26750 Providence Pkwy
Suite 120
Novi, MI 48374-1211
Phone (248) 679-8000

30400 Telegraph Rd
Suite 405
Bingham Farms, MI 48025-5817
Phone (248) 849-8138

47601 Grand River Ave
Novi, MI 48374-1233
Phone (586) 263-5043

Hospital & facility affiliations

  • Surgeons Choice Medical Center Hospital, Southfield, MI, CCN 230301
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Merit-based Incentive Payment System (MIPS)

Final score
89.88 of 100Reported as individual
Quality
70.58
Improvement activities
40
Cost
75.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Park Anesthesia Associates, PC Anesthesiology CurrentSince Sep 5, 2008 Accepting new patients
Michigan Pain Management Consultants-West, PC Anesthesiology CurrentSince Jan 1, 2009 Accepting new patients
Michigan Pain Management Consultants, PC Anesthesiology CurrentSince Jul 1, 1995 Accepting new patients

Locations

30400 Telegraph Rd
Ste 405
Bingham Farms, MI 48025
Phone (248) 483-8138

38864 Hilldale St
Clinton Twp, MI 48036
Phone (586) 233-5554

255 W Michigan Ave
Jackson, MI 49201

26750 Providence Pkwy
Novi, MI 48374
Phone (248) 465-4782

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

26750 Providence Pkwy
Ste 120
Novi, MI 48374
Phone (248) 679-8000

48201 Grand River Ave
Ste 120
Novi, MI 48374

50505 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 323-4700

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22255 Greenfield Rd
Ste 500
Southfield, MI 48075
Phone (248) 849-3142

24715 Little Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 779-2585

Interoperability endpoints

  • Direct secure messaging: jtraylor1155906@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760418784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR III",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301048947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.