Kenneth Jostock Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301092603 Issued in MI

Practice address

3854 Woodland Dr
Metamora, MI 48455-9730

Phone

(810) 728-3486

NPI assigned

Jul 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, HI, SC3 enrollments

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 3

Specialty

Internal Medicine

Education

Wayne State University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLeod Loris Seacoast HospitalGroup PAC ID 9133394398, 57 clinicians

McLaren Lapeer RegionGroup PAC ID 8123000544, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Absolute Home Health Care Home health agency, Grand Blanc, MI, CCN 237732
• McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
• McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193
• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_kjostock@landmarkhealth-direct.org
• Direct secure messaging: kjostock95160@directmcleodehealth.org
• Direct secure messaging: kjostock1004404@direct.hfhs.org
• FHIR API: https://api.platform.athenahealth.com/10871/brand/1/csg/1/fhir/r4

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.

• McLaren Lapeer Region

  • Certified Registered Nurse Anesthetist
  • Lapeer, MI
  • NPI 1124151147
  Medicare reassignment Care Compare group NPD
• McLeod Loris Seacoast Hospital

  • Certified Registered Nurse Anesthetist
  • Loris, SC
  • NPI 1265708119
  Medicare reassignment Care Compare group NPD
• Frankenmuth Medical Associates PLLC

  • Family Medicine Physician
  • Frankenmuth, MI
  • NPI 1225547383
  Medicare reassignment NPD
• Kappel Elite LLC

  • Family Nurse Practitioner
  • Flint, MI
  • NPI 1306372339
  Medicare reassignment NPD
• McLaren Hospital Group

  • Emergency Medicine Physician
  • Flint, MI
  • NPI 1942026174
  Medicare reassignment NPD
• Kauai Medical Clinic

  • Multi-Specialty Clinic/Center
  • Lihue, HI
  • NPI 1376596643
  Medicare reassignment NPD
• McLaren Lapeer Region

  • General Practice Physician
  • Lapeer, MI
  • NPI 1184998288

  Family Medicine

  NPD
• McLaren Lapeer Region

  • Multi-Specialty Clinic/Center
  • Lapeer, MI
  • NPI 1740313667
  NPD
• Kauai Medical Clinic

  • Durable Medical Equipment & Medical Supplies
  • Koloa, HI
  • NPI 1871611558
  NPD
• McLeod Loris Seacoast Hospital

  • Community/Retail Pharmacy
  • Little River, SC
  • NPI 1629387352
  NPD
• Inpatient Consultants of Michigan PC

  • Hospitalist Physician
  • Livonia, MI
  • NPI 1861442824

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Absolute Home Health Care, Inc.

  • Home Health Agency
  • Grand Blanc, MI
  • NPI 1689729873
  Care Compare affiliation
• McLaren Lapeer Region

  • General Acute Care Hospital
  • Lapeer, MI
  • NPI 1205824737
  Care Compare affiliation
• McLeod Loris Seacoast Hospital

  • General Acute Care Hospital
  • Loris, SC
  • NPI 1306123344
  Care Compare affiliation
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1861655847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 WOODLAND DR",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484559730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3854 WOODLAND DR",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484559730",
            "telephone_number": "810-728-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSTOCK",
        "first_name": "KENNETH",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301092603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey John Jacob, D.P.T.
• Kevin Charles Jacob, DC
• Je Craig and Associates PC
• Meryl Hannah Johnson
• Hannah Jones, MS, RDN
• Junior Yogi
• Matthew Michael Kapraun, DC
• Julianne Marie Lentz, RPH
• Gabrielle Renate Lightcap, COTAL
• Carrie Ellen Lovik, PA

• Internal Medicine Physician in Metamora, MI
• Providers in Metamora, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.

Verify at the official NPI Registry.