Individual provider Active NPI

Grace W Patterson, MD

  • Family Medicine Physician
  • Detroit, MI
National Provider Identifier
1093811200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301068359 Issued in MI
Practice address
9150 Linwood Ave
Detroit, MI 48206
Phone
(313) 895-6605
Fax
(313) 895-6530
NPI assigned
Sep 15, 2006
Sex
Female
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
Family Medicine Physician 207Q00000X 4301068359 MI Primary

Addresses

Primary practice location

9150 Linwood Ave
Detroit, MI 48206

Mailing address

9150 Linwood Ave
Detroit, MI 48206
Phone (313) 895-6605

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
I20070112000099 MI Practitioner - Family Practice 4981604170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians

Practice addresses (Care Compare)

16719 Harlow St
Detroit, MI 48235-3430
Phone (248) 356-1111

306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064

Hospital & facility affiliations

  • Health Choice Home Care Service, LLC Home health agency, Madison Heights, MI, CCN 237630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301068359MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix LLC CurrentSince Apr 1, 2022 Accepting new patients
Bethesida Wholestic Center PLLC Family Medicine CurrentSince Apr 20, 2007 Accepting new patients
Sciometrix Inc CurrentSince Jan 15, 2023 Accepting new patients
City of Detroit Past Accepting new patients
Transformation Medical Services, PC Past Accepting new patients
Hartland Urgent Care PLLC Past Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Everything New Medical Care PLLC Past Accepting new patients
Jordan Clinics Limited Partnership Past Accepting new patients
Young-Sims Clinic PC Family Medicine PastSince Aug 31, 2006 Accepting new patients
Rehabilitation Services Plus Inc. Past Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

15565 Northland Dr W
Ste 700
Southfield, MI 48075

Interoperability endpoints

  • Direct secure messaging: patterson.grace.016.0220073@gsmd.meditab.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1093811200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 LINWOOD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48206",
            "telephone_number": "313-895-6605",
            "fax_number": "313-895-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 LINWOOD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48206",
            "telephone_number": "313-895-6605",
            "fax_number": "313-895-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "GRACE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301068359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.