Individual provider Active NPI

Nathan L Gross, MD

  • Physical Medicine & Rehabilitation Physician
  • Bingham Farms, MI
National Provider Identifier
1134174261
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
NG046369 Issued in MI
Practice address
30100 Telegraph Rd Ste 177
Bingham Farms, MI 48025
Phone
(248) 647-1470
Fax
(248) 647-1472
NPI assigned
May 24, 2006
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NG046369 MI Primary

Addresses

Primary practice location

30100 Telegraph Rd Ste 177
Bingham Farms, MI 48025

Mailing address

30100 Telegraph Rd Ste 177
Bingham Farms, MI 48025-4560
Phone (248) 647-1470

Other practice location 1

24901 Northwestern Hwy
Suite 205
Southfield, MI 48075-2203
Phone (248) 746-0882 ext. 300

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
I20051115000572 MI Practitioner - Physical Medicine and Rehabilitation 6204855687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Rehabilitation Medicine PCGroup PAC ID 1759450323, 31 clinicians

Practice addresses (Care Compare)

43344 Woodward Ave
Bloomfield Hills, MI 48302-5014
Phone (248) 335-9099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.31 of 100Reported as group
Quality
73.34
Promoting interoperability
64
Improvement activities
40
Cost
52.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NG046369MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Jan 1, 2011 Accepting new patients
Specialists in Rehabilitation Medicine PC Physical Medicine & Rehabilitation CurrentSince Mar 6, 2023 Accepting new patients
Consulting Physicians PC Physical Medicine & Rehabilitation Past Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients

Locations

43344 Woodward Ave
Bloomfld Hls, MI 48302
Phone (248) 335-9099

9640 Commerce Rd
Ste 202
Commerce Twp, MI 48382
Phone (248) 360-8660

261 Mack Ave
Detroit, MI 48201
Phone (313) 745-1100

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

1135 W University Dr
Ste 175
Rochester Hls, MI 48307
Phone (248) 650-4738

1135 W University Dr
Ste 425
Rochester Hls, MI 48307
Phone (248) 650-5861

Interoperability endpoints

  • Direct secure messaging: nathan.gross@sirmp-mi.direct.office.nextgen.com
  • Direct secure messaging: ngross1130803@direct.hfhs.org

Organizations & group practices 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1134174261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD STE 177",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254560",
            "telephone_number": "248-647-1470",
            "fax_number": "248-647-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD STE 177",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "48025",
            "telephone_number": "248-647-1470",
            "fax_number": "248-647-1472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24901 Northwestern Hwy",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480752203",
            "country_code": "US",
            "telephone_number": "248-746-0882 x300",
            "fax_number": "248-357-2380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "NATHAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "NG046369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.