Jukaku Tayeb, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

JT406424 Issued in MI

Practice address

18001 E 10 Mile Rd
Suite 1
Roseville, MI 48066-3803

Phone

(586) 218-5800

Fax

(586) 218-5808

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jukakutayeb@stclairspe.allscriptsdirect.net
• Direct secure messaging: jukaku.tayeb.1@16555.direct.athenahealth.com
• Direct secure messaging: jtayeb63257@direct.hfhs.org

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.

• St Clair Specialty Physicians

  • Nephrology Physician
  • Boise, ID
  • NPI 1063719292
  NPD

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1912909540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45640 SCHOENHERR",
            "address_2": "SUITE B",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-247-4300",
            "fax_number": "586-532-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 E 10 MILE RD",
            "address_2": "SUITE 1",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663803",
            "telephone_number": "586-218-5800",
            "fax_number": "586-218-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYEB",
        "first_name": "JUKAKU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "JT406424",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "49014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Anthony Susko, D.D.S.
• Morgan Sylvester
• T & I Transportation
• Jillian Tacia, R.D.
• James Emmanuel Tangalos, DMD
• Phyliess Lashawn Taylor
• Marilyn Lousie Taylor., LLPC
• Tender Touches Adult Day Care & Transportation Service LLC
• Marie Elizabeth Teschler, NP
• Anne Marie Tessmer, PAC

• Nephrology Physician in Roseville, MI
• Providers in Roseville, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.