Active NPI
Paul C Gryzenia, MD
- Vascular & Interventional Radiology Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 4301104034
- Practice address
- 44201 Dequindre Rd
Troy, MI 48085-1117 - Phone
- (248) 964-5000
- NPI assigned
- Sep 6, 2005
- Last updated
- Jul 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 205707 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 4301104034 | MI | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301104034 | MI | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 1833495 | MI |
Addresses
Primary practice location
44201 Dequindre Rd
Troy, MI 48085-1117
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
36555 26 Mile Rd Ste 1400
Lenox, MI 48048-3186
Phone (947) 523-4020
Other practice location 2
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000
Other practice location 3
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1000
Other practice location 4
36555 26 Mile Rd Ste 3000
Lenox, MI 48048-3185
Phone (947) 523-4040
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pgryzenia72420@direct.beaumont.edu | ||
| Direct Messaging Address | pgryzenia72420@direct.beaumont.edu | ||
| Direct Messaging Address | pgryzenia72420@direct.beaumont.edu | ||
| Direct Messaging Address | pgryzenia72420@direct.beaumont.edu | ||
| Direct Messaging Address | pgryzenia72420@direct.beaumont.edu |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Wayne State University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25631 Little Mack Ave
Saint Clair Shores, MI 48081-2100
Phone (586) 443-2998
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187
44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1605
87 Kercheval Ave
Grosse Pointe Farms, MI 48236-3603
Phone (313) 473-1084
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205707 | MA | MD | Diagnostic Radiology Physician |
| 1833495 | MI | MD | Vascular & Interventional Radiology Physician |
| 4301104034 | MI | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Diagnostic Radiology | Current | Accepting new patients |
| Vein Specialists of the North Shore LLC | Vascular & Interventional Radiology | Past | Accepting new patients |
| Commonwealth Radiology Associates, Inc | Past | Accepting new patients | |
| MRI Radiologists of the N Shore Inc | Diagnostic Radiology | Past | Accepting new patients |
| Forest Park MRI Associates, PC | Past | Accepting new patients | |
| Blueberry Mountain Health, LLC | Past | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Diagnostic Radiology | Past | Accepting new patients |
| Vascular Associates of the Merrimack Valley PC | Past | Accepting new patients |
Locations
468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
36555 26 Mile Rd
Ste 1400
Lenox, MI 48048
Phone (947) 523-4020
36555 26 Mile Rd
Ste 3000
Lenox, MI 48048
Phone (947) 523-4040
3601 W 13 Mile Rd
Royal Oak, MI 48073
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Interoperability endpoints
- pgryzenia1236221@epic00.shdirect.org
Organizations & group practices 11
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.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Internal Medicine Physician
- Troy, MI
- NPI 1356450589
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Diagnostic Radiology
-
- Nurse Practitioner
- North Chelmsford, MA
- NPI 1720631278
-
- Specialist
- Salem, MA
- NPI 1295711661
-
dba The MRI Center of Woburn
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Woburn, MA
- NPI 1720030729
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Peabody, MA
- NPI 1710964572
-
- Vascular Surgery Physician
- North Chelmsford, MA
- NPI 1881669398
-
- Vascular & Interventional Radiology Physician
- Beverly, MA
- NPI 1174630545
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1255325262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44201 DEQUINDRE RD",
"city": "TROY",
"state": "MI",
"postal_code": "480851117",
"telephone_number": "248-964-5000"
}
],
"practiceLocations": [
{
"address_1": "36555 26 Mile Rd Ste 1400",
"address_purpose": "LOCATION",
"city": "Lenox",
"state": "MI",
"postal_code": "480483186",
"country_code": "US",
"telephone_number": "947-523-4020",
"fax_number": "947-523-4021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3601 W 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736712",
"country_code": "US",
"telephone_number": "248-898-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "468 Cadieux Rd",
"address_purpose": "LOCATION",
"city": "Grosse Pointe",
"state": "MI",
"postal_code": "482301507",
"country_code": "US",
"telephone_number": "313-473-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36555 26 Mile Rd Ste 3000",
"address_purpose": "LOCATION",
"city": "Lenox",
"state": "MI",
"postal_code": "480483185",
"country_code": "US",
"telephone_number": "947-523-4040",
"fax_number": "947-523-4041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRYZENIA",
"first_name": "PAUL",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "205707",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301104034",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301104034",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "1833495",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pgryzenia72420@direct.beaumont.edu",
"affiliation": "N",
"address_1": "3601 W 13 Mile Rd",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736712",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pgryzenia72420@direct.beaumont.edu",
"affiliation": "N",
"address_1": "36555 26 Mile Rd Ste 3000",
"city": "Lenox",
"state": "MI",
"country_code": "US",
"postal_code": "480483185",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pgryzenia72420@direct.beaumont.edu",
"affiliation": "N",
"address_1": "36555 26 Mile Rd Ste 1400",
"city": "Lenox",
"state": "MI",
"country_code": "US",
"postal_code": "480483186",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pgryzenia72420@direct.beaumont.edu",
"affiliation": "N",
"address_1": "468 Cadieux Rd",
"city": "Grosse Pointe",
"state": "MI",
"country_code": "US",
"postal_code": "482301507",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pgryzenia72420@direct.beaumont.edu",
"affiliation": "N",
"address_1": "3601 W 13 Mile Rd",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736712",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.