Individual provider Active NPI

Jeffrey W Huotari, MD

  • Family Medicine Physician
  • Howell, MI
National Provider Identifier
1770614000
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301084067 Issued in MI
Practice address
138 W Highland Rd
Ste 950
Howell, MI 48843-2196
Phone
(517) 545-2400
Fax
(888) 258-0150
NPI assigned
Mar 8, 2007
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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 4301084067 MI Primary

Addresses

Primary practice location

138 W Highland Rd
Ste 950
Howell, MI 48843-2196

Mailing address

138 W Highland Rd
Ste 950
Howell, MI 48843-2196
Phone (906) 487-1710

Other identifiers 3

IdentifierTypeStateIssuer
P00642888OtherMIRAILROAD MEDICARE
P00642888OtherMIRAIL ROAD MEDICARE
CA3556OtherMIRAILROAD MEDICARE GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhuotari@direct.practicefusion.com

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
I20040924001028 MI Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 0143299370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Minnesota Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluesky Health, PLLCGroup PAC ID 2062517857, 3 clinicians

Practice addresses (Care Compare)

138 W Highland Rd
Suite 950
Howell, MI 48843-2196
Phone (517) 545-2400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bluesky Health, PLLC Family Medicine CurrentSince Apr 24, 2007 Accepting new patients
Storm Chiropractic, Inc PastSince Sep 25, 2020 Accepting new patients

Locations

903 Razorback Dr
Houghton, MI 49931
Phone (906) 483-2200

138 W Highland Rd
Ste 950
Howell, MI 48843
Phone (517) 545-2400

Interoperability endpoints

  • Direct secure messaging: jhuotari@direct.practicefusion.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1770614000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W HIGHLAND RD",
            "address_2": "STE 950",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432196",
            "telephone_number": "906-487-1710",
            "fax_number": "906-487-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W HIGHLAND RD",
            "address_2": "STE 950",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432196",
            "telephone_number": "517-545-2400",
            "fax_number": "888-258-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUOTARI",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301084067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00642888",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00642888",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CA3556",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhuotari@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "BlueSky Health Direct Email Address",
            "address_1": "138 W HIGHLAND RD",
            "address_2": "STE 950",
            "city": "HOWELL",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488432196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.