Active NPI
Steven Dereyna Jones, DO, MBA
- Emergency Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 51505148
- Practice address
- 22101 Moross Rd
Detroit, MI 48236-2148 - Phone
- (313) 343-4000
- NPI assigned
- Jun 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO3829 | ME | |
| Emergency Medicine Physician | 207P00000X | 327866 | NY | |
| Emergency Medicine Physician | 207P00000X | 51505148 | MI | Primary |
Addresses
Primary practice location
22101 Moross Rd
Detroit, MI 48236-2148
Mailing address
11800 E 12 Mile Rd
Warren, MI 48093-3472
Other practice location 1
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 914-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966
447 N Main St
Pittsfield, ME 04967-3707
Phone (207) 487-4000
565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO3829 | ME | MD | Emergency Medicine Physician |
| 51505148 | MI | MD | Emergency Medicine Physician |
| 327866 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Buffalo Emergency Associates LLP | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of Maine, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000
307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
1500 N James St
Rome, NY 13440
Phone (315) 338-7000
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
Interoperability endpoints
- sjones784593@direct.hfhs.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Emergency Medicine Physician
- Ellsworth, ME
- NPI 1578032058
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenmore, NY
- NPI 1770598104
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
Hospital
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
-
- Critical Access Hospital
- Pittsfield, ME
- NPI 1457461477
-
- General Acute Care Hospital
- Presque Isle, ME
- NPI 1396858999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1790352466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480933472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362148",
"telephone_number": "313-343-4000"
}
],
"practiceLocations": [
{
"address_1": "111 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135022517",
"country_code": "US",
"telephone_number": "315-914-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "STEVEN",
"middle_name": "DEREYNA",
"name_prefix": "Dr.",
"credential": "DO, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-09",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "DO3829",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "327866",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "51505148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.