DR. JANE K SYRIAC MD
NPI 1336175512
Internal Medicine in West Bloomfield, MI
NPI Status: Active since June 23, 2006
Contact Information
2300 HAGGERTY RD
SUITE 2190
WEST BLOOMFIELD, MI
ZIP 48323
Phone: (248) 960-1122
Fax: (248) 246-0506
- Individual
- Female
- Years of Experience 38
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- CLIA Number: 23D1051190
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-23-2026
About JANE SYRIAC
This page provides the complete NPI Profile along with additional information for Jane Syriac, an internist established in West Bloomfield, Michigan with a medical specialization in Internal Medicine and more than 38 years of experience. The healthcare provider is registered in the NPI registry with number 1336175512 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X with license number JS058071 (MI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1336175512
- Provider Name
- DR. JANE K SYRIAC MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2300 HAGGERTY RD SUITE 2190 WEST BLOOMFIELD, MI 48323
- Location Phone
- (248) 960-1122
- Location Fax
- (248) 246-0506
- Mailing Address
- 2300 HAGGERTY RD SUITE 2190 WEST BLOOMFIELD, MI 48323
- Mailing Phone
- (248) 960-1122
- Mailing Fax
- (248) 246-0506
- Medical School Name
- OTHER
- Graduation Year
- 1988
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-23-2006
- Last Update Date
- 07-27-2016
- Code Navigator
An internist like Jane Syriac is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- JS058071
- License State
- MI
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (No Referrals) - HMO
- UHC Bronze Value+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - HMO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F83217 | MEDICARE UPIN (02) | ||
| P07850001 | MEDICARE PIN (08) | MI | |
| 104726344 | MEDICAID (05) | MI |
Medicare Participation & PECOS Enrollment Status
Jane Syriac is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jane Syriac is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8022095389
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20041129000165
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
8 DME suppliers used 37 Medicare Claims 78 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
2 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Other DME (DE000N)
Nebulizer, with compressor (HCPCS:E0570)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 23 Medicare Claims 23 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
2 DME suppliers used 20 Medicare Claims 20 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Annual depression screening, 15 minutes
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Hospital discharge day management, 30 minutes or less
Influenza vaccine split virus, preservative free
Initial hospital inpatient care per day, typically 70 minutes
Injection of drug or substance under skin or into muscle
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Transitional care management services for problem of high complexity
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 34 times for 34 patientsAn annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
This service was performed 100 times for 100 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 123 times for 123 patientsA fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
This service was performed 53 times for 53 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 15 times for 13 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 171 times for 97 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 159 times for 99 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 59 times for 27 patientsHospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
This service was performed 21 times for 19 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 33 times for 33 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 24 times for 22 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 52 times for 15 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 118 times for 115 patientsTransitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
This service was performed 22 times for 16 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.57 for a new patient copayment and $25.58 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48323 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.28
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.57
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.35
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $25.58
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jane Syriac is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI | 16001 W NINE MILE RD SOUTHFIELD, MI 48075 | (248) 849-3011 | Acute Care Hospitals | |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W THIRTEEN MILE RD ROYAL OAK, MI 48073 | (248) 898-5000 | Acute Care Hospitals | |
| BEAUMONT HOSPITAL - FARMINGTON HILLS | 28050 GRAND RIVER AVENUE FARMINGTON HILLS, MI 48336 | (248) 471-8000 | Acute Care Hospitals | |
| HURON VALLEY-SINAI HOSPITAL | ONE WILLIAM CARLS DRIVE COMMERCE TOWNSHIP, MI 48382 | (248) 937-3370 | Acute Care Hospitals |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1051190
- Facility Type
- Physician Office
- Certificate Effective Date
- February 24, 2024
- Certificate Expiration Date
- February 23, 2026
- Laboratory Director
- JANE K. SYRIAC
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jane Syriac to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 1 | 7 | 5 | 5 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 7 | 10 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 7 + 1 + 0 + 5 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1336175512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922006402 | DR. JULIE AL-NAJIM MD Individual | Pediatrics | 2300 HAGGERTY RD SUITE 2110 W BLOOMFIELD, MI 48323 (248) 926-1411 |
| 1669470035 | DR. JOHN BOYLE DO Individual | Pediatrics | 2300 HAGGERTY RD SUITE # 2110 WEST BLOOMFIELD, MI 48323 (248) 926-1411 |
| 1508864687 | PEDIATRIC CARE CORNER PC Organization | Pediatrics (Adolescent Medicine) | 2300 HAGGERTY RD SUITE 2110 W BLOOMFIELD, MI 48323 (248) 926-1411 |
| 1891781795 | DR. ALAN DAVID GOLDSMITH M.D. Individual | Obstetrics & Gynecology | 2300 HAGGERTY RD STE 2070 WEST BLOOMFIELD, MI 48323 (248) 926-2020 |
| 1497741300 | DR. MICHAEL S SALESIN M.D. Individual | Obstetrics & Gynecology (Gynecology) | 2300 HAGGERTY RD STE 2070 WEST BLOOMFIELD, MI 48323 (248) 926-2020 |
| 1568452001 | JODIE SENGSTOCK DPM Individual | Podiatrist | 2300 HAGGERTY RD SUITE 1175 WEST BLOOMFIELD, MI 48323 (248) 624-8338 |
| 1356331441 | ELLEN MADY DPM Individual | Podiatrist (Foot Surgery) | 2300 HAGGERTY RD SUITE 1175 WEST BLOOMFIELD, MI 48323 (248) 624-8338 |
| 1831160829 | COMPREHENSIVE MEDICAL ASSOCIATES, PLC Organization | Internal Medicine | 2300 HAGGERTY RD SUITE 2120 WEST BLOOMFIELD, MI 48323 (248) 960-7711 |
| 1073585022 | DR. JEFFREY S. COHEN D.D.S. Individual | Dentist (Oral and Maxillofacial Surgery) | 2300 HAGGERTY RD SUITE 2030 WEST BLOOMFIELD, MI 48323 (248) 669-6600 |
| 1922076363 | MILES L SINGER DO PLLC Organization | Orthopaedic Surgery | 2300 HAGGERTY RD STE 2100 WEST BLOOMFIELD, MI 48323 (248) 926-1960 |
| 1255391397 | DR. ELAINE M BRENNER M.D. Individual | Internal Medicine | 2300 HAGGERTY RD 2150 WEST BLOOMFIELD, MI 48323 (248) 926-6610 |
| 1437112166 | DR. CHRISTIAN MCTURK M.D. Individual | Internal Medicine | 2300 HAGGERTY RD SUITE 2150 WEST BLOOMFIEL;D, MI 48323 (248) 926-6610 |
| 1831152560 | DR. SAAD P KEMENNU M.D. Individual | Internal Medicine | 2300 HAGGERTY RD SUITE 2150 WEST BLOOMFIELD, MI 48323 (248) 926-6610 |
| 1114982659 | DR. DANA CHEVELLE YUZON M.D. Individual | Internal Medicine | 2300 HAGGERTY RD SUITE 2150 WEST BLOOMFIELD, MI 48323 (248) 926-6610 |
| 1558326926 | JENNIFER L SOBOL DO Individual | Urology | 2300 HAGGERTY RD SUITE 2000 WEST BLOOMFIELD, MI 48323 (248) 624-9900 |
| 1851332670 | LAKES ANESTHESIA, PLC Organization | Anesthesiology | 2300 HAGGERTY RD SUITE 1000 WEST BLOOMFIELD, MI 48323 (248) 896-6300 |
| 1447268644 | DR. THOMAS REID KAVIEFF D.O. Individual | Neuromusculoskeletal Medicine & OMM | 2300 HAGGERTY RD SUITE 1120 WEST BLOOMFIELD, MI 48323 (248) 926-6222 |
| 1497766406 | LAWRENCE M DELL, MD, PC Organization | Clinic/Center | 2300 HAGGERTY RD SUITE 1010 WEST BLOOMFIELD, MI 48323 (248) 668-0900 |
| 1891800769 | KRISTEN ELIZABETH KRUEGER P.A. Individual | Physician Assistant (Medical) | 2300 HAGGERTY RD SUITE 1010 WEST BLOOMFIELD, MI 48323 (248) 668-0900 |
| 1497822712 | FEET FIRST P C Organization | Podiatrist (Primary Podiatric Medicine) | 2300 HAGGERTY RD S-1175 WEST BLOOMFIELD, MI 48323 (248) 624-8338 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336175512, enumerated in the NPI registry as an "individual" on June 23, 2006
The provider is located at 2300 Haggerty Rd Suite 2190 West Bloomfield, Mi 48323 and the phone number is (248) 960-1122
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 38 years of experience.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $134.28 with an average copayment of $33.57 for new patient appointments. Established patients should expect a typical charge of $102.35 and an average copayment of 25.58. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Annual depression screening, 15 minutes, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, 30 minutes or less, Influenza vaccine split virus, preservative free, Initial hospital inpatient care per day, typically 70 minutes, Injection of drug or substance under skin or into muscle, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report and Transitional care management services for problem of high complexity.
The provider's CLIA number is 23D1051190 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
The practitioner is affiliated to the following hospital(s): ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI, BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL - FARMINGTON HILLS and HURON VALLEY-SINAI HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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