JEFFREY GILLUM MD
NPI 1790773091
Obstetrics & Gynecology in Detroit, MI
NPI Status: Active since October 11, 2005
Contact Information
4727 SAINT ANTOINE ST
SUITE 210
DETROIT, MI
ZIP 48201
Phone: (313) 831-3066
Fax: (313) 831-8438
- Individual
- Male
- Obstetrics & Gynecology
- Accepts Insurance
- Medicare Quality Reporting
About JEFFREY GILLUM
This page provides the complete NPI Profile along with additional information for Jeffrey Gillum, a women's health care provider established in Detroit, Michigan with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1790773091 assigned on October 2005. The practitioner's primary taxonomy code is 207V00000X with license number 4301041555 (MI). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1790773091
- Provider Name
- JEFFREY GILLUM MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4727 SAINT ANTOINE ST SUITE 210 DETROIT, MI 48201
- Location Phone
- (313) 831-3066
- Location Fax
- (313) 831-8438
- Mailing Address
- 43800 GARFIELD RD CLINTON TWP, MI 48038
- Mailing Phone
- (800) 848-0202
- Mailing Fax
- (313) 831-8438
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-11-2005
- Last Update Date
- 02-01-2010
- Code Navigator
Women's health care providers like Jeffrey Gillum treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301041555
- License State
- MI
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - 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
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 |
|---|---|---|---|
| P35120157 | MEDICARE PIN (08) | MI | |
| M71670163 | MEDICARE PIN (08) | MI | |
| 5215491 | MEDICAID (05) | MI | |
| 4502243 | MEDICAID (05) | MI | |
| N71840003 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| B48578 | MEDICARE UPIN (02) | ||
| 5188750 | MEDICAID (05) | MI |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 53% | 144 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| e-Prescribing | 97% | 2150 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 68% | 158 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 100% | 202 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 75% | 1219 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 21% | 774 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 76% | 681 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patient Access | 92% | 1219 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 48% | 1219 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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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 | 7 | 9 | 0 | 7 | 7 | 3 | 0 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 7 | 6 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 7 + 6 + 0 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1790773091 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1659347821 | BRENT WINSTON GILLUM D.O. Individual | Obstetrics & Gynecology | 4727 SAINT ANTOINE ST SUITE 210 DETROIT, MI 48201 (313) 831-3066 |
| 1265479703 | DIANE A VISTA-DECK MD Individual | Obstetrics & Gynecology | 4727 SAINT ANTOINE ST SUITE 304 DETROIT, MI 48201 (313) 745-0499 |
| 1053358556 | SAMUEL GENE MCNEELEY MD Individual | Obstetrics & Gynecology | 4727 SAINT ANTOINE ST SUITE 304 DETROIT, MI 48201 (313) 745-0499 |
| 1710926670 | BRENT W GILLUM D O PLC Organization | Obstetrics & Gynecology | 4727 SAINT ANTOINE ST SUITE 210 DETROIT, MI 48201 (313) 831-3066 |
| 1700826252 | DAVID CHESTER KMAK MD Individual | Obstetrics & Gynecology | 4727 SAINT ANTOINE ST SUITE 304 DETROIT, MI 48201 (313) 745-0499 |
| 1700826641 | SUSAN LYNN HENDRIX DO Individual | Obstetrics & Gynecology | 4727 SAINT ANTOINE ST SUITE 304 DETROIT, MI 48201 (313) 745-0499 |
| 1013947829 | DR. LINDA MARIE GREEN D.O. Individual | Internal Medicine | 4727 SAINT ANTOINE ST SUITE 211 DETROIT, MI 48201 (313) 833-5032 |
| 1326104357 | MS. ARNITA GERTRUDE KNOTT MSN, CNP Individual | Nurse Practitioner | 4727 SAINT ANTOINE ST SUITE 210 DETROIT, MI 48201 (313) 831-3066 |
| 1144365388 | ANDREW THOMAS, M.D.,P.C. Organization | Family Medicine | 4727 SAINT ANTOINE ST SUITE 211 DETROIT, MI 48201 (313) 833-5032 |
| 1447377163 | DR. ANWAR N MOHAMED MS, MD Individual | Clinical Medical Laboratory | 4727 SAINT ANTOINE ST SUITE 411 DETROIT, MI 48201 (313) 745-9672 |
| 1578684957 | DETR MED CTR HARPER HOSP Organization | Pharmacy (Community/Retail Pharmacy) | 4727 SAINT ANTOINE ST STE 100A DETROIT, MI 48201 (313) 745-7444 |
| 1295917615 | MS. ELENA CAMP Individual | Specialist | 4727 SAINT ANTOINE ST SUITE 211 DETROIT, MI 48201 (248) 981-3160 |
| 1790010544 | IGNATIOS VOUDOUKIS MD PC Organization | Internal Medicine (Cardiovascular Disease) | 4727 SAINT ANTOINE ST SUITE 402 DETROIT, MI 48201 (313) 831-4600 |
| 1164694113 | DR. MICHAEL EDWARD DEAN M.D. Individual | Obstetrics & Gynecology | 4727 SAINT ANTOINE ST STE 304 DETROIT, MI 48201 (313) 745-0499 |
| 1588814024 | DR. BAN AL-KARAGHOULI MD Individual | Obstetrics & Gynecology | 4727 SAINT ANTOINE ST STE 304 DETROIT, MI 48201 (313) 745-0499 |
| 1457645202 | DR. VICTORIA MONIQUE LUCAS-PERRY DDS Individual | Dentist | 4727 SAINT ANTOINE ST APT 6E DETROIT, MI 48201 (313) 833-7309 |
| 1558794594 | MRS. BOBBI RAE EMMONS RDH Individual | Dental Hygienist | 4727 SAINT ANTOINE ST SUITE 408 DETROIT, MI 48201 (313) 833-7309 |
| 1093134348 | JACKSON HEALTH SERVICES Organization | Family Medicine | 4727 SAINT ANTOINE ST STE 202 DETROIT, MI 48201 (313) 831-8805 |
| 1265841977 | DR. LATONYA WALLER DDS Individual | Dentist (General Practice) | 4727 SAINT ANTOINE ST DETROIT, MI 48201 (313) 833-7309 |
| 1558769836 | GLOBAL HEALTH IPA Organization | Family Medicine | 4727 SAINT ANTOINE ST STE 202 DETROIT, MI 48201 (313) 831-8805 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790773091, enumerated in the NPI registry as an "individual" on October 11, 2005
The provider is located at 4727 Saint Antoine St Suite 210 Detroit, Mi 48201 and the phone number is (313) 831-3066
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: HAP CareSource, McLaren Health Plan Community,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 11, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.