Individual provider Active NPI

Jennifer P Demore, M.D.

  • Allergy & Immunology Physician
  • Ypsilanti, MI
National Provider Identifier
1902854490
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301095230 Issued in MI
Practice address
2000 N Huron River Dr Ste 200
Ypsilanti, MI 48197-1791
Phone
(734) 434-3007
Fax
(734) 434-6317
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 4301095230 MI Primary

Addresses

Primary practice location

2000 N Huron River Dr Ste 200
Ypsilanti, MI 48197-1791

Mailing address

4350 Jackson Road, Ste 260
Allergy & Immunology Associates of Ann Arobor, P.C.
Ann Arbor, MI 48103-1889
Phone (734) 434-3007

Other names 1

  • Dr. Jennifer Lynn Preston Former name

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
I20091009000163 MI Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6800839291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Michigan Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Immunology Associates of Ann Arbor, PCGroup PAC ID 0648239343, 6 clinicians

Practice addresses (Care Compare)

1600 S Canton Ctr Rd
2200 Allergy and Immunology Associates of Mic
Canton, MI 48188-6334
Phone (734) 434-3007

2000 N Huron River Dr
Suite 200
Ypsilanti, MI 48197-1791
Phone (734) 434-3007

26850 Providence Pkwy
Suite 503
Novi, MI 48374-1267
Phone (248) 349-5752

32270 Telegraph Rd
Suite 175
Bingham Farms, MI 48025-2407
Phone (248) 932-0082

4350 Jackson Rd
Ann Arbor, MI 48103-1896
Phone (734) 434-3007

6247 Grand River Rd
Suite 400
Brighton, MI 48114-5326
Phone (734) 434-3007

Hospital & facility affiliations

  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301095230MIMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Immunology Associates of Ann Arbor, P.C. CurrentSince Aug 3, 2015 Accepting new patients
Glenn G. Marinelli MD PA Past Accepting new patients
Dr Ridhu C Burton MD PC Allergy & Immunology Past Accepting new patients

Locations

4350 Jackson Rd
Ste 370
Ann Arbor, MI 48103

4350 Jackson Rd
Ste 260
Ann Arbor, MI 48103
Phone (313) 434-3007

6247 Grand River Rd
Ste 400
Brighton, MI 48114
Phone (734) 434-3007

26850 Providence Pkwy
Ste 503
Novi, MI 48374
Phone (248) 349-5752

2000 N Huron River Dr
Ste 200
Ypsilanti, MI 48197
Phone (734) 434-3007

Interoperability endpoints

  • Direct secure messaging: jdemore1124953@direct.hfhs.org

Organizations & group practices 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902854490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 JACKSON ROAD, STE 260",
            "address_2": "ALLERGY & IMMUNOLOGY ASSOCIATES OF ANN AROBOR, P.C.",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031889",
            "telephone_number": "734-434-3007",
            "fax_number": "734-434-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N HURON RIVER DR STE 200",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971791",
            "telephone_number": "734-434-3007",
            "fax_number": "734-434-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMORE",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301095230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PRESTON",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.