Individual provider Active NPI

Vachareeporn Tahki Jayasvasti, DO

  • Internal Medicine Physician
  • Auburn Hills, MI
National Provider Identifier
1801953492
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101014399 Issued in MI
Practice address
3100 Cross Creek Pkwy
Suite 220
Auburn Hills, MI 48326-2774
Phone
(248) 377-0600
Fax
(248) 377-0606
NPI assigned
Jan 2, 2007
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101014399 MI Primary

Addresses

Primary practice location

3100 Cross Creek Pkwy
Suite 220
Auburn Hills, MI 48326-2774

Mailing address

3100 Cross Creek Pkwy Ste 220
Auburn Hills, MI 48326-2776
Phone (248) 377-0600

Other identifiers 1

IdentifierTypeStateIssuer
4976294MedicaidMI

Other names 1

  • V Tahki Campbell Other name

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
I20041118000914 MI Practitioner - Internal Medicine 9638133622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oakland Internists, PCGroup PAC ID 8729150131, 3 clinicians
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Practice addresses (Care Compare)

3100 Cross Creek Pkwy
Suite 220
Auburn Hills, MI 48326-2776
Phone (248) 377-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101014399MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oakland Internists, PC Internal Medicine CurrentSince Mar 1, 2008 Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Internal Medicine Current Accepting new patients
Henry Ford Physician Partners CurrentSince Oct 1, 2025 Accepting new patients
Henry Ford Physician Partners Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Alliance Health Professionals, PLLC Internal Medicine Current Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC PastSince Jan 28, 2024 Accepting new patients
Telemed Consultants PLLC Internal Medicine Past Accepting new patients

Locations

3100 Cross Creek Pkwy
Ste 220
Auburn Hills, MI 48326
Phone (248) 377-0600

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

Interoperability endpoints

  • Direct secure messaging: vjayasvasti1133321@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1801953492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY STE 220",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262776",
            "telephone_number": "248-377-0600",
            "fax_number": "248-377-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 220",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-377-0600",
            "fax_number": "248-377-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYASVASTI",
        "first_name": "VACHAREEPORN",
        "middle_name": "TAHKI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101014399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4976294",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "V",
            "last_name": "CAMPBELL",
            "middle_name": "TAHKI",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.