JOHN JERIUS (MD) – Surgery Physician, NPI 1306848353

JOHN JERIUS (MD) is a healthcare provider. based in Warren, Michigan. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 4301080979 (MI). The NPI Number for JOHN JERIUS (MD) is 1306848353

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JERIUS (MD)
NPI
1306848353
Phone
Not provided
Address
PO BOX 1048
Enumeration Date
10 August 2005
Last Update Date
1 June 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
8703824303
Graduation Year
1987 (39 years ago)
PAC ID
3678472370
Group Practice PAC ID
1658262241
Professional Enrollment ID
I20150929003275
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN JERIUS (MD)

  • 1048, Norton Road, Longlands, Hastings, Hastings District, Hawke's Bay, 4122, New Zealand

    WARREN, MI 480901048

    Phone:

    Type: Mailing

  • Ryan Road, Warren, Macomb County, Michigan, 48092, United States

    WARREN, MI 480925124

    Phone: (586) 693-3821

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150929003275IGeneral SurgeryARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48090)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658262241View full group profile
NameSpecialtyState
Clinical Social WorkerOR
Family PracticeAR
Nurse PractitionerAR
Family PracticeOR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What unique ID ties claims to JOHN JERIUS (MD)?
NPI 1306848353 is assigned to JOHN JERIUS (MD) under the national enumeration system.
Is JOHN JERIUS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JOHN JERIUS (MD) list a primary specialty?
If you are matching referrals, note Surgery Physician for JOHN JERIUS (MD). Clinical services aligned with this taxonomy classification.
What location shows for JOHN JERIUS (MD)?
We surface Warren, Michigan for JOHN JERIUS (MD) based on available NPPES addresses.
How can I contact JOHN JERIUS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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