Individual provider Active NPI

Jeet N Pillay, MD

  • Internal Medicine Physician
  • Walled Lake, MI
National Provider Identifier
1891790663
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4310083902 Issued in MI
Practice address
100 N Pond Dr
Ste C
Walled Lake, MI 48390-3079
Phone
(248) 624-2222
Fax
(248) 926-9455
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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 4310083902 MI Primary

Addresses

Primary practice location

100 N Pond Dr
Ste C
Walled Lake, MI 48390-3079

Mailing address

100 N Pond Dr
Ste C
Walled Lake, MI 48390-3079
Phone (248) 624-2222

Other identifiers 10

IdentifierTypeStateIssuer
4618534MedicaidMI
7590588OtherAETNA
X20835OtherMIHAP HMO PPO
3120987OtherMICIGNA
I09597OtherMIHAP
139063OtherMICARE CHOICES
1106302861OtherMIBCBSM
2225559OtherMIFIRST HEALTH
X20835OtherMIHAP
0630286OtherMIBCE EMERGIS

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
I20040730000292 MI Practitioner - Internal Medicine 4688644214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pillay Internal Medicine Associates, PLLCGroup PAC ID 1254301880, 3 clinicians

Practice addresses (Care Compare)

100 N Pond Dr
Suite C
Walled Lake, MI 48390-3079
Phone (248) 624-2222

Hospital & facility affiliations

  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4310083902MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pillay Internal Medicine Associates, PLLC CurrentSince Jul 1, 2004 Accepting new patients
VHS Huron Valley-Sinai Hospital Inc Past Accepting new patients

Locations

100 N Pond Dr
Ste C
Walled Lake, MI 48390
Phone (248) 478-1500

Interoperability endpoints

  • Direct secure messaging: jeet.pillay.1@8372.direct.athenahealth.com
  • Direct secure messaging: jpillay@direct.dmc.org
  • FHIR API: https://api.platform.athenahealth.com/8372/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jpillay58921@direct.hfhs.org

Organizations & group practices 2

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1891790663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N POND DR",
            "address_2": "STE C",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903079",
            "telephone_number": "248-624-2222",
            "fax_number": "248-926-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N POND DR",
            "address_2": "STE C",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903079",
            "telephone_number": "248-624-2222",
            "fax_number": "248-926-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLAY",
        "first_name": "JEET",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4310083902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4618534",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7590588",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP HMO PPO",
            "identifier": "X20835",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3120987",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "I09597",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "139063",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1106302861",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2225559",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "X20835",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCE EMERGIS",
            "identifier": "0630286",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, MI

Sources for this page

Verify at the official NPI Registry.