DR. JENNIFER KRISTINE CARUSO (D.O.) – Maternal & Fetal Medicine Physician, NPI 1558596015

DR. JENNIFER KRISTINE CARUSO (D.O.) is a healthcare provider. based in Southfield, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101018168 (MI). The NPI Number for DR. JENNIFER KRISTINE CARUSO (D.O.) is 1558596015

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER KRISTINE CARUSO (D.O.)
NPI
1558596015
Phone
(248) 849-2710
Address
22255 Greenfield Rd
Enumeration Date
27 May 2009
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9895836800
Graduation Year
2009 (17 years ago)
PAC ID
0244478394
Group Practice PAC ID
3971400318
Professional Enrollment ID
I20160810001517
Address ID
MI486025303SA1000XAVEX300

Contacts

Secure Messaging
jcaruso177521@direct.covenanthealthcare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

1,739 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for DR. JENNIFER KRISTINE CARUSO (D.O.)

  • 22255 Greenfield Rd

    Suite 350

    Southfield, MI 480753710

    Phone: (248) 849-2710

    Fax: (248) 849-4024

    Type: Location

  • 1000 HOUGHTON AVE

    SAGINAW, MI 486025303

    Phone: (989) 746-7500

    Fax: (989) 746-7723

    Type: Mailing

  • 22255, Greenfield Road, Southfield, Oakland County, Michigan, 48075, United States

    SUITE 350

    SOUTHFIELD, MI 480753710

    Phone: (248) 849-2710

    Fax: (248) 849-4024

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2023-06-15 • Largest payer in this snapshot: Dexcom, Inc. ($100).

Total Amount

$100

General + Research + Ownership

Payments

1

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$100
View all Open Payments →|Open Payments Risk Radar →

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: 2016-08-10

PECOS data refreshed: 2026-06-15

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
I20160810001517IObstetrics/GynecologyMITBD

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 48075)

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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: 3971400318View full group profile

Reviews

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Frequently asked questions

Is DR. JENNIFER KRISTINE CARUSO (D.O.) listed with a National Provider Identifier?
Yes — DR. JENNIFER KRISTINE CARUSO (D.O.) has NPI 1558596015 on file in the registry.
Is there an active status for DR. JENNIFER KRISTINE CARUSO (D.O.)?
For scheduling context, DR. JENNIFER KRISTINE CARUSO (D.O.) is shown as active in the registry.
What kind of doctor is DR. JENNIFER KRISTINE CARUSO (D.O.)?
DR. JENNIFER KRISTINE CARUSO (D.O.) is associated with Maternal & Fetal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. JENNIFER KRISTINE CARUSO (D.O.) registered?
Use Southfield, Michigan as the headline location for DR. JENNIFER KRISTINE CARUSO (D.O.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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