Active NPI
Jason P Gilleran, MD
- Urology Physician
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4301096814
- Practice address
- 31157 Woodward Avenue
Royal Oak, MI 48073-0926 - Phone
- (248) 336-0123
- Fax
- (248) 336-3190
- NPI assigned
- May 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4301096814 | MI | Primary |
| Urology Physician | 208800000X | 35086508 | OH |
Addresses
Primary practice location
31157 Woodward Avenue
Royal Oak, MI 48073-0926
Mailing address
31157 Woodward Avenue
Royal Oak, MI 48073-0926
Phone (248) 336-0123
Other practice location 1
Beaumont Urology Services
3601 W 13 Mile Road
Royal Oak, MI 48073-6712
Phone (248) 898-0898
Other practice location 2
Beaumont Urology Resident Clinic
3535 W 13 Mile Road, Ste. 404
Royal Oak, MI 48073-6770
Phone (248) 551-3535
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgilleran41266@direct.beaumont.edu |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Wayne State University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Semi Medical Group
Practice addresses (Care Compare)
17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900
27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552
28100 Grand River Ave
Farmington Hills, MI 48336-5970
31157 Woodward Ave
Royal Oak, MI 48073-0996
Phone (248) 336-0123
3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058
44344 Dequindre Rd
Sterling Heights, MI 48314-1040
Hospital & facility affiliations
- Beaumont Hospital, Troy
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Farmington Hills
- McLaren Macomb
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Urology | Current | Accepting new patients |
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
31500 Telegraph Rd
Ste 130
Bingham Farms, MI 48025
Phone (248) 433-3803
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
4201 Campus Ridge Dr
Ste 2500
Midland, MI 48640
Phone (989) 839-8881
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010
3601 W 13 Mile Rd
Royal Oak, MI 48073
31157 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-2250
3535 W 13 Mile Rd
Ste 404
Royal Oak, MI 48073
Phone (248) 551-0640
44344 Dequindre Rd
Ste 310
Sterling Heights, MI 48314
Phone (586) 997-3530
4600 Investment Dr
Ste 370
Troy, MI 48098
Phone (248) 267-5030
Interoperability endpoints
- jason.gilleran.1@18740.direct.athenahealth.com
- jgilleran41266@direct.beaumont.edu
- jgilleran1235113@epic00.shdirect.org
Organizations & group practices 5
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.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Urology Physician
- Port Huron, MI
- NPI 1801176235
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1790734721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31157 WOODWARD AVENUE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480730926",
"telephone_number": "248-336-0123",
"fax_number": "248-336-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31157 WOODWARD AVENUE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480730926",
"telephone_number": "248-336-0123",
"fax_number": "248-336-3190"
}
],
"practiceLocations": [
{
"address_1": "Beaumont Urology Services",
"address_2": "3601 W 13 Mile Road",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736712",
"country_code": "US",
"telephone_number": "248-898-0898",
"fax_number": "248-898-1661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Beaumont Urology Resident Clinic",
"address_2": "3535 W 13 Mile Road, Ste. 404",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736770",
"country_code": "US",
"telephone_number": "248-551-3535",
"fax_number": "248-551-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLERAN",
"first_name": "JASON",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2022-06-10",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "4301096814",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35086508",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgilleran41266@direct.beaumont.edu",
"affiliation": "N",
"address_1": "31157 Woodward Avenue",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480730926",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.