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J EDSON PONTES MD
NPI 1285681981
Urology in Detroit, MI

Active since May 28, 2006PECOS Enrolled
4100 JOHN R ST, DETROIT, MI 48201(800) 527-6266(313) 966-8207 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About J Edson Pontes Md NPPES

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

J EDSON PONTES MD (NPI 1285681981) is an individual urology provider in Detroit, Michigan, licensed in Michigan (4301031303) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285681981
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJ EDSON PONTESCredential: MD
Location Address4100 JOHN R STDetroit, MI 48201-2013
Mailing Address400 Mack Blvd, Ste 2 West Credentialing DeptDetroit, MI 48201-2153 · (313) 448-9006
Phone(800) 527-6266
Fax(313) 966-8207
Sole ProprietorNo
Enumeration DateMay 28, 2006
Last NPPES UpdateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1285681981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MI · 4301031303
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4100 JOHN R ST, Detroit, MI 48201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J Edson Pontes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

University Physician Group
0.6 mi
Physician Assistant
4100 JOHN R ST
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
NPI 1316987589 (313) 745-4525

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

BARBARA ANN KARMANOS CANCER HOSPITAL
Pharmacy (Community/Retail Pharmacy)
4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201
Wayne County (313) 576-9350
BARBARA ANN KARMANOS CANCER CENTER
General Acute Care Hospital
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-9345
UNIVERSITY INTERNAL MEDICINE SPECIALISTS
Internal Medicine (Medical Oncology)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-4525
ANDREA P SAMPSON-HAGGOOD N.P.
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-4525
KATHERINE BRECKENRIDGE SLP
Speech-Language Pathologist
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (800) 527-6266
KRISTEN MOERCHEN
Nurse Practitioner (Acute Care)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 831-4038
DR. STEPHEN A KAURALA
Pharmacist
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-9815
ELIZABETH HAY PHARMD
Pharmacist (Oncology)
4100 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-8807

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 J Pontes's NPI number?

The NPI number for J Pontes is 1285681981. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is J Pontes located?

J Pontes practices at 4100 John R St, Detroit, MI 48201. The listed phone number is (800) 527-6266.

What is J Pontes's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is J Pontes enrolled in Medicare?

Yes. J Pontes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for J Pontes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), J Pontes reassigns Medicare benefits to University Physician Group (Detroit, 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 J Pontes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for J Pontes was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.