Jennifer Mitsuya, D.O.
NPI 1336405554 · Pediatric Gastroenterology Physician · Royal Oak, MI
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Mitsuya, D.O. is a Pediatric Gastroenterology Physician provider in Royal Oak, MI (NPI 1336405554).
Provider details
- NPI number
- 1336405554
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 5101019846 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3901 Beaubien StDetroit, MI 48201-2119Phone: (313) 745-5533Fax: (313) 993-7118
Registry dates
- Enumerated
- 2012-04-02
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Frequently asked questions
- What is Jennifer Mitsuya's NPI number?
- Jennifer Mitsuya's National Provider Identifier (NPI) is 1336405554, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Mitsuya's specialty?
- Jennifer Mitsuya is listed in the NPPES registry with a primary specialty of Pediatric Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Jennifer Mitsuya located?
- Jennifer Mitsuya's practice location on file with NPPES is 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073.
- What is Jennifer Mitsuya's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Mitsuya is (248) 551-0487.
- Does Jennifer Mitsuya accept Medicare?
- Jennifer Mitsuya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Mitsuya's NPI active?
- Yes — Jennifer Mitsuya's NPI (1336405554) is active in the NPPES registry as of the last update on 2020-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.