Individual provider Active NPI

John David Cramer, M.D.

  • Otolaryngology Physician
  • Chicago, IL
National Provider Identifier
1093078834
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301114390 Issued in MI
Practice address
676 N Saint Clair St
Galter 15-200
Chicago, IL 60611-2927
Phone
(312) 695-8182
NPI assigned
Jun 18, 2012
Last updated
Dec 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301114390 MI Primary
Otolaryngology Physician 207Y00000X 125.061127 IL

Addresses

Primary practice location

676 N Saint Clair St
Galter 15-200
Chicago, IL 60611-2927

Mailing address

1560 E Maple Rd
Troy, MI 48083-1135
Phone (248) 581-5729

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
I20180830001204 MI Practitioner - Otolaryngology 3173827052 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren MacombGroup PAC ID 8921912791, 131 clinicians
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

1080 Harrington St
Mount Clemens, MI 48043-2901
Phone (586) 493-7510

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.061127ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group Single Specialty CurrentSince Dec 15, 2020 Accepting new patients
Barbara Ann Karmanos Cancer Institute Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
McLaren Medical Group Single Specialty CurrentSince Dec 15, 2020 Accepting new patients
Oncologic Specialists PC Single Specialty CurrentSince Jan 20, 2023 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Jan 1, 2025 Accepting new patients
University Physician Group Single Specialty CurrentSince Jul 24, 2018 Accepting new patients
Barbara Ann Karmanos Cancer Institute Past Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

5680 Bow Pointe Dr
Clarkston, MI 48346
Phone (248) 620-9600

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

5250 Auto Club Dr
Ste 290A
Dearborn, MI 48126
Phone (313) 448-9220

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

1080 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-7500

1080 Harrington St
Ste 201
Mount Clemens, MI 48043
Phone (586) 493-7575

26400 W 12 Mile Rd
Ste 111
Southfield, MI 48034
Phone (248) 357-4151

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: john.cramer.1@19711.direct.athenahealth.com

Organizations & group practices 8

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 5

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1093078834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831135",
            "telephone_number": "248-581-5729",
            "fax_number": "248-581-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "GALTER 15-200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-695-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301114390",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "125.061127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.