Individual provider Active NPI

James Michael Doyle, DO

  • Family Medicine Physician
  • Monroe, MI
National Provider Identifier
1982679262
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009514 Issued in MI
Practice address
905 N Macomb St
Suite #2
Monroe, MI 48162-3084
Phone
(734) 384-0876
Fax
(734) 384-0898
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X JD009514 MI
Family Medicine Physician 207Q00000X 5101009514 MI Primary

Addresses

Primary practice location

905 N Macomb St
Suite #2
Monroe, MI 48162-3084

Mailing address

905 N Macomb St
Suite #2
Monroe, MI 48162-3084
Phone (734) 384-0876

Other identifiers 1

IdentifierTypeStateIssuer
0M91890008OtherMIMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdoyle23432@epicdirect.promedica.org

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
I20041130001100 MI Practitioner - Family Practice 3577528652 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101009514MIMDFamily Medicine Physician
JD009514MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Memorial Hospital Corporatio Current Accepting new patients
Mercy Memorial Hospital Corporation CurrentSince Apr 1, 2008 Accepting new patients
Mercy Memorial Hospital Corporation Family Medicine CurrentSince Apr 1, 2008 Accepting new patients
Promedica Central Corporation of Michigan Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Tricity Medical Centers, P.C. Past Accepting new patients
Beech Daly Medical Center, PLLC Past Accepting new patients

Locations

111 Medical Center Dr
Carleton, MI 48117
Phone (734) 240-8580

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

905 N Macomb St
Ste 2
Monroe, MI 48162
Phone (734) 242-1899

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

Interoperability endpoints

  • Direct secure messaging: jdoyle23432@direct.promedica.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1982679262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N MACOMB ST",
            "address_2": "SUITE #2",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623084",
            "telephone_number": "734-384-0876",
            "fax_number": "734-384-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N MACOMB ST",
            "address_2": "SUITE #2",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623084",
            "telephone_number": "734-384-0876",
            "fax_number": "734-384-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JD009514",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0M91890008",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdoyle23432@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.