JULIAN JEBERAEEL – Radiation Oncology Physician, NPI 1790300390

JULIAN JEBERAEEL is a healthcare provider. based in Southfield, Michigan. specializing in RADIATION ONCOLOGY. They hold a License No. 5151014577APP20 (MI). The NPI Number for JULIAN JEBERAEEL is 1790300390

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JULIAN JEBERAEEL
NPI
1790300390
Phone
(248) 849-3281
Address
2250 PROVIDENCE
Enumeration Date
10 June 2020
Last Update Date
10 June 2020

Doctor Profile

Medical School Name
CAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
3136473100
Graduation Year
2020 (6 years ago)
PAC ID
4183046501
Group Practice PAC ID
1355378753
Professional Enrollment ID
I20250710001600
Address ID
MI482362857GR19229AVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

248 RADIATION ONCOLOGY in MI

Provider Addresses for JULIAN JEBERAEEL

  • 2250 PROVIDENCE

    SOUTHFIELD, MI 48075

    Phone: (248) 849-3281

    Type: Location

  • 2210 HARVARD CT

    WEST BLOOMFIELD, MI 483231920

    Phone:

    Type: Mailing

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: 2025-07-10

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
I20250710001600IRadiation OncologyMITBD

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: 1355378753View full group profile
NameSpecialtyState
Radiation OncologyMI
Radiation OncologyMI
Radiation OncologyMI
-MI
Radiation OncologyMI
Radiation OncologyMI

Reviews

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Frequently asked questions

How is JULIAN JEBERAEEL identified in CMS data?
CMS-hosted NPPES data lists JULIAN JEBERAEEL with NPI 1790300390.
Does CMS list JULIAN JEBERAEEL as active?
Yes — JULIAN JEBERAEEL is active in the NPI listing used on this page.
What healthcare role does JULIAN JEBERAEEL hold?
Scheduling teams often label JULIAN JEBERAEEL under Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JULIAN JEBERAEEL on a map?
Expect Southfield, Michigan as a primary anchor for JULIAN JEBERAEEL unless the record lists multiple sites.
Why does JULIAN JEBERAEEL have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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