Individual provider Active NPI

Mandhir Jamwal, M.D.

  • Family Medicine Physician
  • West Branch, MI
National Provider Identifier
1932302346
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301090156 Issued in MI
Practice address
2331 Progress St
Suite D
West Branch, MI 48661-9384
Phone
(989) 345-0945
Fax
(989) 345-2831
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301090156 MI Primary

Addresses

Primary practice location

2331 Progress St
Suite D
West Branch, MI 48661-9384

Mailing address

2331 Progress St
Suite D, PO Box 340
West Branch, MI 48661-9384
Phone (989) 345-0945

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
I20101213000526 MI Practitioner - Family Practice 5496942757 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Fadi Salloum MD PCGroup PAC ID 2062503584, 28 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (517) 975-6475

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5645

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Feb 1, 2023 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Bay Region CurrentSince Oct 22, 2023 Accepting new patients
McLaren Medical Group Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
McLaren Central Michigan CurrentSince Sep 1, 2020 Accepting new patients
Fadi Salloum MD PC CurrentSince May 24, 2023 Accepting new patients
McLaren Bay Region Family Medicine CurrentSince Oct 22, 2023 Accepting new patients
McLaren Central Michigan Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Telemed Consultants PLLC Past Accepting new patients
McLaren Medical Group Family Medicine Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

6507 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 922-9975

5625 Water Tower Pl
Ste 210
Clarkston, MI 48346
Phone (248) 625-1011

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2110 S M 76
Ste 6
West Branch, MI 48661
Phone (989) 345-1184

Organizations & group practices 10

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 2

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1932302346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 PROGRESS ST",
            "address_2": "SUITE D, PO BOX 340",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619384",
            "telephone_number": "989-345-0945",
            "fax_number": "989-345-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 PROGRESS ST",
            "address_2": "SUITE D",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619384",
            "telephone_number": "989-345-0945",
            "fax_number": "989-345-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMWAL",
        "first_name": "MANDHIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301090156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.