Individual provider Active NPI

Jared Grodman, DO

  • Gastroenterology Physician
  • Farmington Hills, MI
National Provider Identifier
1013404540
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5101027935 Issued in MI
Practice address
23133 Orchard Lake Rd Ste 200
Farmington Hills, MI 48336-3279
Phone
(248) 579-9220
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5101027935 MI Primary

Addresses

Primary practice location

23133 Orchard Lake Rd Ste 200
Farmington Hills, MI 48336-3279

Mailing address

23133 Orchard Lake Rd Ste 200
Farmington Hills, MI 48336-3279

Other practice location 1

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 471-8232

Other practice location 2

1 William Carls Dr Ste 220
Commerce Twp, MI 48382-2201
Phone (248) 579-9220

Other practice location 3

27301 Dequindre Rd Ste 314
Madison Heights, MI 48071-3459
Phone (248) 471-9978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710002681 MI Practitioner - Gastroenterology 2961766464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Oakland Gastroenterology Associates PCGroup PAC ID 3274578661, 6 clinicians

Practice addresses (Care Compare)

23133 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48336-3279
Phone (248) 579-9220

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142

Merit-based Incentive Payment System (MIPS)

Final score
99.19 of 100Reported as group
Quality
94.97
Promoting interoperability
100
Improvement activities
40
Cost
86.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy134
Upper gastrointestinal (GI) endoscopy for acid reflux173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
South Oakland Gastroenterology Associates PC Gastroenterology CurrentSince Aug 1, 2024 Accepting new patients

Locations

1 William Carls Dr
Ste 220
Commerce Twp, MI 48382
Phone (248) 579-9220

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

27301 Dequindre Rd
Ste 314
Madison Hts, MI 48071
Phone (248) 399-4400

Interoperability endpoints

  • Direct secure messaging: jgrodman646011@direct.hfhs.org
  • Direct secure messaging: jgrodman1236139@epic00.shdirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1013404540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363279",
            "telephone_number": "248-579-9220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "248-471-8232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 William Carls Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Commerce Twp",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "248-579-9220",
            "fax_number": "248-426-7350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27301 Dequindre Rd Ste 314",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480713459",
            "country_code": "US",
            "telephone_number": "248-471-9978",
            "fax_number": "248-426-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRODMAN",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101027935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.