NPIMap

Individual provider Active NPI

Jeffrey Greski, DO

  • Urology Physician
  • Rochester Hills, MI
National Provider Identifier
1073619441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
JG012005 Issued in MI
Practice address
2450 Walton Blvd
Rochester Hills, MI 48309-1481
Phone
(248) 650-0096
Fax
(248) 650-9831
NPI assigned
Sep 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X JG012005 MI Primary

Addresses

Primary practice location

2450 Walton Blvd
Rochester Hills, MI 48309-1481

Mailing address

2450 Walton Blvd
Rochester Hills, MI 48309-1481
Phone (248) 650-0096

Other identifiers 2

IdentifierTypeStateIssuer
340F375640OtherMIBCBSM
4139143MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110705000204 MI Practitioner - Urology 6002094570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Florida College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan United Physicians PCGroup PAC ID 4385614221, 7 clinicians

Practice addresses (Care Compare)

2450 Walton Blvd
Rochester Hills, MI 48309-1481
Phone (248) 650-0096

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.82 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JG012005MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan United Physicians PC Urology CurrentSince Sep 1, 1999 Accepting new patients

Locations

2450 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 650-0096

2450 Walton Blvd
Ste A
Rochester Hills, MI 48309

2450 Walton Blvd
Ste B
Rochester Hills, MI 48309
Phone (248) 650-0096

Interoperability endpoints

  • Direct secure messaging: jgreski1130698@direct.hfhs.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073619441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091481",
            "telephone_number": "248-650-0096",
            "fax_number": "248-650-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091481",
            "telephone_number": "248-650-0096",
            "fax_number": "248-650-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESKI",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "JG012005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "340F375640",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4139143",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.