Individual provider Active NPI

Neena Jamwal, M.D.

  • Clinical Neurophysiology Physician
  • Detroit, MI
National Provider Identifier
1841454816
Registry record updated Apr 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
4301088153 Issued in MI
Practice address
4646 John R St
Department of Neurology
Detroit, MI 48201-1916
Phone
(313) 576-1000
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 4301088153 MI Primary

Addresses

Primary practice location

4646 John R St
Department of Neurology
Detroit, MI 48201-1916

Mailing address

4646 John R St
Department of Neurology
Detroit, MI 48201-1916
Phone (313) 576-1000

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
I20200320000456 MI Practitioner - Neurology 0840628145 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

6773 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-6100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Mar 3, 2020 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Jul 10, 2020 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Mar 2, 2020 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Mar 3, 2020 Accepting new patients
W.a. Foote Memorial Hospital, Inc Neurology CurrentSince Mar 2, 2020 Accepting new patients
W. a. Foote Memorial Hospital, Inc. Neurology Current Accepting new patients
Henry Ford Health System Neurology CurrentSince Mar 3, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Mar 3, 2020 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Jul 10, 2020 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

1961 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (248) 319-6190

23050 West Rd
Ste 120
Brownstown Twp, MI 48183
Phone (734) 671-1510

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

6773 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 661-6100

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

Interoperability endpoints

  • Direct secure messaging: njamwal640392@direct.hfhs.org

Organizations & group practices 12

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 2

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335052800000",
    "number": "1841454816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "address_2": "DEPARTMENT OF NEUROLOGY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "address_2": "DEPARTMENT OF NEUROLOGY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMWAL",
        "first_name": "NEENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2012-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MI",
            "license": "4301088153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.