ROSEVILLE MEDICAL, P.C.
NPI 1700917291
Specialist in Roseville, MI

Active since March 08, 2007
25959 KELLY RD, SUITE A, ROSEVILLE, MI 48066(586) 774-9010(586) 774-6758 Get Directions Write a Review

NPPES record last updated: January 26, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roseville Medical, P.c. NPPES

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

ROSEVILLE MEDICAL, P.C. (NPI 1700917291), doing business as Jitender K. Jain, M.d. Pc, is a healthcare organization registered as a specialist in Roseville, Michigan and active in the NPI registry since March 2007. The organization lists Jitender Kumar Jain, Owner, as its authorized official.

NPPES Registry Identity

NPI1700917291
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameROSEVILLE MEDICAL, P.C.
Location Address25959 KELLY RD, SUITE ARoseville, MI 48066-4991
Mailing Address25959 Kelly Rd, Suite ARoseville, MI 48066-4991 · (586) 774-9010 · Fax (586) 774-6758
Fax(586) 774-6758
Organization SubpartNo
Authorized OfficialJitender Kumar JainOwner · (586) 774-9010
Enumeration DateMarch 8, 2007
Last NPPES UpdateJanuary 26, 2010
✔ NPI 1700917291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · JJ033038
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
25959 KELLY RD, Roseville, MI 48066

Other Names 1

Former Legal Business NameJitender K. Jain, M.d. Pc

Other Identifiers 3

Other0E018170MI · Blue Cross Blue Shield
Medicare UPINE26085MI
Medicare ID-Type Unspecified0P26320MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roseville Medical, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20060117000147Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roseville Medical, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Hematology/Oncology
NPI 1598784100
25959 KELLY RD STE A
Roseville, MI 48066
(586) 774-9010
✔ PECOS✔ Accepts MedicareSame address

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

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 Roseville Medical, P.C.'s NPI number?

The NPI number for Roseville Medical, P.C. is 1700917291. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider was formerly known as Jitender K. Jain, M.D. PC.

Where is Roseville Medical, P.C. located?

Roseville Medical, P.C. is located at 25959 Kelly Rd Suite A, Roseville, MI 48066. The listed phone number is (586) 774-9010.

What is Roseville Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Roseville Medical, P.C. enrolled in Medicare?

Yes. Roseville Medical, P.C. is registered in the Medicare PECOS enrollment system.

When is Roseville Medical, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Roseville Medical, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hematology/Oncology) reassigns their Medicare billing to Roseville Medical, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Roseville Medical, P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Roseville Medical, P.C. 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 Roseville Medical, P.C. was last updated on January 26, 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.