Active NPI
Jeet N Pillay, MD
- Internal Medicine Physician
- Walled Lake, MI
National Provider Identifier
1891790663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4310083902
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4618534 | Medicaid | MI | |
| 7590588 | Other | AETNA | |
| X20835 | Other | MI | HAP HMO PPO |
| 3120987 | Other | MI | CIGNA |
| I09597 | Other | MI | HAP |
| 139063 | Other | MI | CARE CHOICES |
| 1106302861 | Other | MI | BCBSM |
| 2225559 | Other | MI | FIRST HEALTH |
| X20835 | Other | MI | HAP |
| 0630286 | Other | MI | BCE 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4310083902 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pillay Internal Medicine Associates, PLLC | Current | 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
- jeet.pillay.1@8372.direct.athenahealth.com
- jpillay@direct.dmc.org
- https://api.platform.athenahealth.com/8372/brand/1/csg/1/fhir/r4
- 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.
-
- Primary Care Clinic/Center
- Walled Lake, MI
- NPI 1003800269
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.