Active NPI
Jeffrey J Critchfield, M.D.
- Vascular & Interventional Radiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 4301078280
- Practice address
- 3990 John R St
Department of Radiology
Detroit, MI 48201 - Phone
- (313) 576-9653
- Fax
- (313) 576-9639
- NPI assigned
- Jul 18, 2007
- 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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301078280 | MI | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 4301078280 | MI |
Addresses
Primary practice location
3990 John R St
Department of Radiology
Detroit, MI 48201
Mailing address
4100 John R
Mailcode: Hp10Id
Detroit, MI 48201
Phone (313) 576-9330
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070829000342 | MI | Practitioner - Interventional Radiology | 8729171228 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Wayne State University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Barbara Ann Karmanos Cancer Institute
Practice addresses (Care Compare)
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
Hospital & facility affiliations
- Karmanos Cancer Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078280 | MI | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Past | Accepting new patients |
Locations
32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604
39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880
4100 John R St
#10
Detroit, MI 48201
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701
Organizations & group practices 4
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Detroit, MI
- NPI 1386060226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1861692923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 JOHN R",
"address_2": "MAILCODE: HP10ID",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-576-9330",
"fax_number": "313-576-9639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 JOHN R ST",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-576-9653",
"fax_number": "313-576-9639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRITCHFIELD",
"first_name": "JEFFREY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301078280",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301078280",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.