NPIMap

Individual provider Active NPI

Gregory V McIntosh, D.O.

  • Urology Physician
  • Livonia, MI
National Provider Identifier
1184688665
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5101011612 Issued in MI
Practice address
33014 5 Mile Rd
Livonia, MI 48154-3075
Phone
(734) 261-7401
Fax
(734) 261-7417
NPI assigned
Apr 13, 2006
Last updated
Oct 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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 5101011612 MI Primary

Addresses

Primary practice location

33014 5 Mile Rd
Livonia, MI 48154-3075

Mailing address

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3200
Phone (586) 771-4820

Other identifiers 7

IdentifierTypeStateIssuer
0E06273OtherMIBCBSM
CB9133OtherMIRAILROAD MEDICARE
0425310004OtherMIDMERC-WARREN OFFICE
0425310003OtherMIDMERC-MACOMB OFFICE
0425310001OtherMIDMERC-OAKLAND OFFICE
114506028MedicaidMI
0425310002OtherMIDMERC-LIVONIA OFFICE

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
I20100814000168 MI Practitioner - Urology 5092602573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Michigan State University College of Human Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians
McLaren MacombGroup PAC ID 8921912791, 131 clinicians

Practice addresses (Care Compare)

130 Town Ctr Dr
Troy, MI 48084-1744

18100 Oakwood Blvd
Suite 315
Dearborn, MI 48124-4085
Phone (313) 271-0066

19991 Hall Rd
Suite 201
Macomb, MI 48044-4254
Phone (586) 228-0150

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820

25500 Meadowbrook Rd
Suite 225
Novi, MI 48375-1882
Phone (248) 426-1300

33014 5 Mile Rd
Livonia, MI 48154-3075
Phone (734) 261-7401

36500 S Gratiot Ave
Clinton Township, MI 48035-1772

37399 Garfield Rd
Clinton Township, MI 48036-3672

43650 Garfield Rd
Suite 102
Clinton Township, MI 48038-7419
Phone 58677148202072

Hospital & facility affiliations

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, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Macomb Urology CurrentSince Sep 1, 2014 Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology CurrentSince Mar 1, 2011 Accepting new patients
Michigan Institute of Urology PC Urology CurrentSince Mar 1, 2011 Accepting new patients
Michigan Institute of Urology PC Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Michigan Institute of Urology, PC Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Michigan Institute of Urology Laboratory Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Lake Sumter Urology, LLC Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Michigan Institute of Urology, PC Past Accepting new patients
Jack L Cassell M.D. P.a. PastSince Sep 1, 2015 Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Michigan Institute of Urology, PC Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Michigan Institute of Urology PC Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Michigan Institute of Urology, PC Past Accepting new patients
Michigan Institute of Urology, PC Past Accepting new patients
Michigan Institute of Urology PC Urology Past Accepting new patients
Michigan Institute of Urology, PC Past Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 250
Clarkston, MI 48346
Phone (248) 620-6660

36500 S Gratiot Ave
Ste 102
Clinton Twp, MI 48035
Phone (586) 790-9003

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

1 William Carls Dr
Ste 210
Commerce Twp, MI 48382
Phone (248) 387-2733

1637 Monroe St
Dearborn, MI 48124
Phone (313) 278-1700

18100 Oakwood Blvd
Ste 315
Dearborn, MI 48124
Phone (313) 271-0066

14800 Farmington Rd
Ste 103
Livonia, MI 48154
Phone (734) 261-7401

14800 Farmington Rd
Ste 108
Livonia, MI 48154
Phone (734) 261-7401

33014 5 Mile Rd
Livonia, MI 48154
Phone (734) 261-7401

19991 Hall Rd
Ste 201
Macomb, MI 48044
Phone (586) 228-0150

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

25500 Meadowbrook Rd
Novi, MI 48375
Phone (248) 476-8500

25500 Meadowbrook Rd
Ste 225
Novi, MI 48375
Phone (248) 426-1300

44200 Woodward Ave
Ste 207
Pontiac, MI 48341
Phone (248) 322-6103

1701 South Blvd E
Ste 340
Rochester Hills, MI 48307
Phone (248) 293-1000

3535 W 13 Mile Rd
Ste 407
Royal Oak, MI 48073
Phone (248) 551-0638

12660 10 Mile Rd
South Lyon, MI 48178
Phone (248) 348-1131

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

44344 Dequindre Rd
Ste 210
Sterling Heights, MI 48314
Phone (586) 323-4200

2128 W Jefferson Ave
Trenton, MI 48183
Phone (734) 676-4040

130 Town Center Dr
Ste 200
Troy, MI 48084
Phone (248) 740-0670

11051 Hall Rd
Ste 200
Utica, MI 48317
Phone (586) 254-5759

13251 E 10 Mile Rd
Ste 200
Warren, MI 48089
Phone (586) 758-0123

Interoperability endpoints

  • Direct secure messaging: gmcintosh58369@direct.hfhs.org
  • FHIR API: https://app.meldrx.com/api/fhir/uc05115_tricountyurologists

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1184688665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD",
            "address_2": "SUITE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813200",
            "telephone_number": "586-771-4820",
            "fax_number": "586-771-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33014 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543075",
            "telephone_number": "734-261-7401",
            "fax_number": "734-261-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "GREGORY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101011612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E06273",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB9133",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC-WARREN OFFICE",
            "identifier": "0425310004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC-MACOMB OFFICE",
            "identifier": "0425310003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC-OAKLAND OFFICE",
            "identifier": "0425310001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114506028",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC-LIVONIA OFFICE",
            "identifier": "0425310002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.