Anna Teresa Dobracki, MD PHD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

4301060576 Issued in MI

Practice address

8546 W Grand River Ave
Brighton, MI 48116-2326

Phone

(810) 227-0906

Fax

(810) 227-6511

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Allergy/Immunology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Sports Vantage PLLCGroup PAC ID 3476815630, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Med Sports Vantage PLLC

  • Primary Care Clinic/Center
  • Brighton, MI
  • NPI 1326587114
  Medicare reassignment Care Compare group NPD
• McGinniss Plastic Surgery and Aesthetics PLLC

  • Facial Plastic Surgery Physician
  • Brighton, MI
  • NPI 1306616487
  NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1093763153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8546 W GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162326",
            "telephone_number": "810-227-0906",
            "fax_number": "810-227-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8546 W GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162326",
            "telephone_number": "810-227-0906",
            "fax_number": "810-227-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRACKI",
        "first_name": "ANNA",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "4301060576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093763153",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Livallergy@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Livingston Center of Allergy, Sinus & Asthma Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Practice",
            "address_1": "8546 W Grand River Ave",
            "city": "Brighton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481162326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Lynn Dimartino, DPT
• Dimovski Chiropractic P.C.
• Binh Dinh, M.D.
• Erich Alexander Dittmar, DDS
• Courtney Marie Doak, FNP-C
• Jessica Dodson
• Andrew Doherty, M.D.
• Donastorg Dentistry PLLC
• Richard Russell Doney, DDS
• Jordan Eve Donovan, PHARMD

• Allergy Physician in Brighton, MI
• Providers in Brighton, MI by specialty
• Allergy Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.