DR. JOSEPH JAMES MD
NPI 1154398196
Internal Medicine in Royal Oak, MI

Active since March 08, 2006Opted out of Medicare · through Apr 1, 2027
3535 W 13 MILE RD, SUITE 635, ROYAL OAK, MI 48073(248) 551-7009 Get Directions Write a Review

NPPES record last updated: April 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joseph James Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH JAMES MD (NPI 1154398196) is an individual internal medicine provider in Royal Oak, Michigan, licensed in Michigan (4301067827) and active in the NPI registry since March 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154398196
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSEPH JAMESCredential: MD
Location Address3535 W 13 MILE RD, SUITE 635Royal Oak, MI 48073-6770
Mailing Address3535 W 13 Mile Rd, Suite 635Royal Oak, MI 48073-6770 · (248) 551-7009
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateApril 29, 2010
NPI 1154398196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301067827
Definition
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.
3535 W 13 MILE RD, Royal Oak, MI 48073

Other Identifiers 3

Medicaid412510-10MI
Medicare UPINH05320MI
Medicare ID-Type UnspecifiedM70220MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Joseph James Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2009 through April 1, 2027.

Opt-Out Effective DateApril 1, 2009
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Ophthalmology
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Physical Medicine & Rehabilitation
3535 W 13 MILE RD, STE 437
ROYAL OAK, MI 48073
Pediatrics
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Physical Medicine & Rehabilitation
3535 W 13 MILE RD, SUITE 437
ROYAL OAK, MI 48073
Obstetrics & Gynecology
3535 W 13 MILE RD, SUITE 233
ROYAL OAK, MI 48073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph James's NPI number?

The NPI number for Joseph James is 1154398196. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Joseph James located?

Joseph James practices at 3535 W 13 Mile Rd Suite 635, Royal Oak, MI 48073. The listed phone number is (248) 551-7009.

What is Joseph James's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph James enrolled in Medicare?

No. Joseph James has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Joseph James accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Joseph James as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph James was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.