Individual provider Active NPI

Laura H Gruskin, MD

  • Obstetrics & Gynecology Physician
  • Farmington Hills, MI
National Provider Identifier
1225029473
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301055940 Issued in MI
Practice address
34505 W 12 Mile Rd
Ste 195
Farmington Hills, MI 48331-3258
Phone
(248) 848-1479
Fax
(248) 848-1578
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301055940 MI Primary

Addresses

Primary practice location

34505 W 12 Mile Rd
Ste 195
Farmington Hills, MI 48331-3258

Mailing address

34505 W 12 Mile Rd
Ste 195
Farmington Hills, MI 48331-3258
Phone (248) 848-1479

Other identifiers 1

IdentifierTypeStateIssuer
3280768-10MedicaidMI

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
I20111227000434 MI Practitioner - Obstetrics/Gynecology 1658360870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

34505 W 12 Mile Rd
Suite 195
Farmington Hills, MI 48331-3286
Phone (248) 848-1479

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Oakland OBGYN PLLC Obstetrics & Gynecology CurrentSince Dec 1, 1998 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

34505 W 12 Mile Rd
Ste 195
Farmington Hills, MI 48331
Phone (248) 848-1476

Organizations & group practices 2

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.

Hospital & facility affiliations 12

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1225029473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34505 W 12 MILE RD",
            "address_2": "STE 195",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313258",
            "telephone_number": "248-848-1479",
            "fax_number": "248-848-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34505 W 12 MILE RD",
            "address_2": "STE 195",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313258",
            "telephone_number": "248-848-1479",
            "fax_number": "248-848-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSKIN",
        "first_name": "LAURA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301055940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3280768-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.