Active NPI
Dennis Isaac Bojrab II, M.D.
- Otology & Neurotology Physician
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 4301119143
- Practice address
- 30055 Northwestern Hwy Ste 101
Farmington Hills, MI 48334-3260 - Phone
- (248) 849-3000
- Fax
- (248) 849-3000
- NPI assigned
- Apr 9, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | ||
| Otology & Neurotology Physician | 207YX0901X | 4301119143 | MI | Primary |
Addresses
Primary practice location
30055 Northwestern Hwy Ste 101
Farmington Hills, MI 48334-3260
Mailing address
30055 Northwestern Hwy
Ste 101
Farmington Hills, MI 48334-3260
Phone (248) 849-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dennis.bojrab.1@21058.direct.athenahealth.com | Direct |
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
- Otolaryngology
- Education
- Michigan State University College of Human Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Semi Medical Group
Practice addresses (Care Compare)
17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900
21000 E 12 Mile Rd
Suite 111
Saint Clair Shores, MI 48081-1156
Phone (586) 779-7610
30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3260
Phone (248) 865-4444
Hospital & facility affiliations
- Henry Ford Health St John Hospital
- Ascension Providence Hospital, Southfield and Novi
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Beaumont Hospital - Grosse Pointe
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301119143 | MI | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Ear Institute PLLC | Otolaryngology | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Otolaryngology | Current | Accepting new patients |
| St. John Hospital | Past | Accepting new patients |
Locations
30055 Northwestern Hwy
Ste 101
Farmington Hills, MI 48334
Phone (248) 865-4166
17770 Mack Ave
Grosse Pointe Shores, MI 48230
Phone (313) 882-1731
17900 23 Mile Rd
Ste 203
Macomb, MI 48044
Phone (586) 263-7400
46325 W Twelve Mile Rd
Ste 125
Novi, MI 48377
Phone (248) 865-4444
3555 W 13 Mile Rd
Ste N210
Royal Oak, MI 48073
Phone (248) 395-6487
21000 E 12 Mile Rd
Ste 111
St Clr Shores, MI 48081
Phone (586) 779-7610
Interoperability endpoints
- https://api.platform.athenahealth.com/21058/brand/1/csg/1/fhir/r4
- dennis.bojrab.1@21058.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Otolaryngology Physician
- Farmington Hills, MI
- NPI 1568575215
-
- Otolaryngology Physician
- Saint Clair Shores, MI
- NPI 1376820605
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1649355918
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1255774246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30055 NORTHWESTERN HWY",
"address_2": "STE 101",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343260",
"telephone_number": "248-849-3000",
"fax_number": "248-849-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30055 NORTHWESTERN HWY STE 101",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343260",
"telephone_number": "248-849-3000",
"fax_number": "248-849-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOJRAB",
"first_name": "DENNIS",
"middle_name": "ISAAC",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-09",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "MI",
"license": "4301119143",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dennis.bojrab.1@21058.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Athena Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "30055 Northwestern Hwy Ste 101",
"city": "Farmington Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483343260",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.