Individual provider Active NPI

Jihad S Younes, M.D.

  • Allergy & Immunology Physician
  • Lake Orion, MI
National Provider Identifier
1811996218
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301073431 Issued in MI
Practice address
1251 S Lapeer Rd
Suite 102
Lake Orion, MI 48360-1415
Phone
(248) 693-4444
Fax
(248) 382-4010
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 4301073431 MI Primary
Pediatrics Physician 208000000X 4301073431 MI

Addresses

Primary practice location

1251 S Lapeer Rd
Suite 102
Lake Orion, MI 48360-1415

Mailing address

1251 S Lapeer Rd
Suite 102
Lake Orion, MI 48360-1415
Phone (248) 693-4444

Other identifiers 3

IdentifierTypeStateIssuer
5181052MedicaidMI
I18792OtherHAP
4301073431OtherMIMICHIGAN MEDICAL LICENSE

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
I20041020000947 MI Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 9537120852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1251 S Lapeer Rd
Suite 102
Lake Orion, MI 48360-1415
Phone (248) 693-4444

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Treatment Center, PLC Allergy & Immunology CurrentSince Jun 8, 2007 Accepting new patients
Suresh Anne MD PC Allergy & Immunology Past Accepting new patients
Allergy and Asthma Center of Troy, PC Allergy & Immunology Past Accepting new patients

Locations

1251 S Lapeer Rd
Ste 102
Lake Orion, MI 48360
Phone (248) 693-3700

Interoperability endpoints

  • Direct secure messaging: jyounes1158423@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.

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1811996218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S LAPEER RD",
            "address_2": "SUITE 102",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601415",
            "telephone_number": "248-693-4444",
            "fax_number": "248-382-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S LAPEER RD",
            "address_2": "SUITE 102",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601415",
            "telephone_number": "248-693-4444",
            "fax_number": "248-382-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNES",
        "first_name": "JIHAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301073431",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301073431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5181052",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "I18792",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN MEDICAL LICENSE",
            "identifier": "4301073431",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

Verify at the official NPI Registry.