THEODORE BENJAMIN JONES MD
NPI 1245270792
Obstetrics & Gynecology in Dearborn, MI
About Theodore Benjamin Jones Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE BENJAMIN JONES MD (NPI 1245270792) is an individual obstetrics & gynecology provider in Dearborn, Michigan, licensed in Michigan (4301054134) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains 7 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theodore Benjamin Jones Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Theodore Jones reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 453 clinicians in this Medicare group
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 731 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Dearborn
Acute Care Hospitals · Dearborn, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DEARBORN, MI 48124
DEARBORN, MI 48124
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 Theodore Jones's NPI number?
The NPI number for Theodore Jones is 1245270792. It was assigned to this individual provider in the NPPES registry on June 6, 2006.
Where is Theodore Jones located?
Theodore Jones practices at 18181 Oakwood Blvd Ste 410, Dearborn, MI 48124. The listed phone number is (313) 982-5430.
What is Theodore Jones's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Theodore Jones enrolled in Medicare?
Yes. Theodore Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Theodore Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Jones reassigns Medicare benefits to 3 organizations: Oakwood Ambulatory LLC (Dearborn, MI), University Physician Group (Dearborn, MI) and Beaumont Medical Group- Specialty Services (Royal Oak, MI). Each 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 Theodore Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Jones accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Theodore Jones 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.
Is Theodore Jones affiliated with any hospitals?
According to CMS data, Theodore Jones is affiliated with Beaumont Hospital - Dearborn.
When was this NPI record last updated?
The NPPES record for Theodore Jones was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Theodore Benjamin Jones, MD · NPI 1245270792
Obstetrics & Gynecology physician in Dearborn, Michigan. Individual provider, active in the CMS NPPES registry since June 6, 2006.
## Identity
- **NPI:** 1245270792 (Entity type: Individual)
- **Enumerated:** June 6, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 4301054134 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 18181 OAKWOOD BLVD STE 410, Dearborn, MI 48124-4082
- **Phone:** (313) 982-5430
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Oakwood Ambulatory LLC (NPI 1003829441, Dearborn, MI); University Physician Group (NPI 1851630206, Dearborn, MI); Beaumont Medical Group- Specialty Services (NPI 1578072906, Royal Oak, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 1982
## Record status
- **NPPES last updated:** September 21, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1245270792) · Data from the CMS NPPES public registry.