JAKE BUFFONE RD
NPI 1215688122
Dietitian, Registered in Flint, MI

Active since January 12, 2022
4800 S SAGINAW ST, FLINT, MI 48507(810) 732-8336 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2022, Jan 12, 2022 (2 updates tracked since 2022).

About Jake Buffone Rd NPPES

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

JAKE BUFFONE RD (NPI 1215688122) is an individual dietitian, registered in Flint, Michigan and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1215688122
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameJAKE BUFFONECredential: RD
Location Address4800 S SAGINAW STFlint, MI 48507-2677
Mailing Address642 Gruber St Apt B5Frankenmuth, MI 48734-1033 · (248) 421-2666
Sole ProprietorYes
Enumeration DateJanuary 12, 2022
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1215688122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4800 S SAGINAW ST, Flint, MI 48507

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jake Buffone Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jake Buffone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
4800 S SAGINAW ST, STE 1805
Flint, MI 48507
  • Reassigned Medicare billing, Michigan enrollment
  • 246 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Neurological Surgery
4800 S SAGINAW ST
FLINT, MI 48507
Chiropractor
4800 S SAGINAW ST, SUITE 1625
FLINT, MI 48507
Nurse Practitioner (Acute Care)
4800 S SAGINAW ST
FLINT, MI 48507
Massage Therapist
4800 S SAGINAW ST
FLINT, MI 48507
Physical Therapy Assistant
4800 S SAGINAW ST
FLINT, MI 48507
Physician Assistant
4800 S SAGINAW ST
FLINT, MI 48507
Nurse Anesthetist, Certified Registered
4800 S SAGINAW ST
FLINT, MI 48507
Nurse Practitioner (Acute Care)
4800 S SAGINAW ST, SUITE 1800
FLINT, MI 48507

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 Jake Buffone's NPI number?

The NPI number for Jake Buffone is 1215688122. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Jake Buffone located?

Jake Buffone practices at 4800 S Saginaw St, Flint, MI 48507. The listed phone number is (810) 732-8336.

What is Jake Buffone's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jake Buffone enrolled in Medicare?

Yes. Jake Buffone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jake Buffone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Buffone reassigns Medicare benefits to Jawad A Shah, MD PC (Flint, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jake Buffone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jake Buffone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Jake Buffone 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 Jake Buffone was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.