Jade Nehra Balasz, DO
Individual provider Active NPI Family Medicine Physician · Mount Clemens, MI
NPI 1780122036 · NPPES record last updated Feb 20, 2020
Key facts
- NPI
- 1780122036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101023197 (MI)
- Practice address
- 1000 Harrington St
Mount Clemens, MI 48043-2920 - Phone
- (586) 493-8000
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Health Rochester Hospital
Practice addresses (Care Compare)
1135 W University Dr
225 Crittenton Primary Care
Rochester, MI 48307-1890
Phone (248) 824-2570
Hospital & facility affiliations
- Ascension Providence Rochester Hospital
- Henry Ford Health St John Hospital
- Henry Ford Health Hospital
- Beaumont Hospital, Troy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200715003008 | MI | Practitioner - Family Practice | 4486924487 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101023197 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Rochester Hospital | Current | Accepting new patients | |
| Henry Ford Health Rochester Hospital | Current |
Accepting new patients | |
| Henry Ford Health Rochester Hospital | Family Medicine | Current |
Accepting new patients |
| Henry Ford Health Rochester Hospital | Past | Accepting new patients |
Locations
1000 W University Dr
Ste 100
Rochester, MI 48307
Phone (248) 402-0266
1135 W University Dr
Ste 225
Rochester Hills, MI 48307
Phone (248) 652-9450
1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805
Interoperability endpoints
- jbalasz1116059@direct.hfhs.org
- https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101023197 | MI | Yes |
Addresses
Primary practice location
1000 Harrington St
Mount Clemens, MI 48043-2920
Mailing address
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000
Other names
- Jade Nehra
Other providers in Mount Clemens, MI
- Amanda Elizabeth Bail
- Jeserae Bailey
- Toccara Bailey
- Anita Baker
- Balanced Physical Therapy, LLC
- Affaan Khan Bangash
- Kimberly Marion Barbour
- Kayla Bardon
- Scott Anthony Barnes
- Jonathan R Bartkus
All providers in Mount Clemens, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.