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Active NPI 1801854344 Individual Practitioner Male Practitioner

Dr. Jose Tad-Y Edurese , MD

Internal Medicine • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Dr. Jose Edurese, MD is a registered healthcare professional specializing in Internal Medicine in Jackson, MI. Practice services are available at 205 N EAST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 N East Ave

Jackson, MI 492011753

Telephone 5177884800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
53 Specialists

Practicing in Jackson, MI (6010 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 4301032704

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
101591571 (MI)
Commercial Insurance / Payer ID Rr Medicare
11023493 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Samantha Mishra , DO

Student in an Organized Health Care Education/Training Program

NPI 1003267303

Doctor of Osteopathic Medicine (D.O.)

NPI 1023198918

Doctor of Pharmacy (Pharm.D.)

Dr. James Chauncey , MD

Internal Medicine - Pulmonary Disease

NPI 1053377044

Doctor of Medicine (M.D.)

Dr. Jonathan Bradley , MD

Emergency Medicine

NPI 1063463552

Doctor of Medicine (M.D.)

Amanda Ahrens , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093033474

Certified Registered Nurse Anesthetist

Heidi Hosler-Lathrop , LMSW

Social Worker - Clinical

NPI 1093970030

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 15, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2009

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884800)

📍
Updated Business Mailing Address January 15, 2009

Registered at DEPARTMENT 272801, PO BOX 67000, DETROIT, MI 482672728 (Tel: 5177829401)

👤
Provider Name / Credentials Updated January 15, 2009

Recorded as JOSE EDURESE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2009

Internal Medicine (License #4301032704 in MI)

🟢
Initial NPI Registration & Enumeration May 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801854344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2006
Last Update: January 15, 2009
Sole Proprietor: No

Mailing Address

Department 272801, Po Box 67000

Detroit, MI 482672728

Phone: 5177829401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.