Individual provider Active NPI

Despina Zefiras Walsworth, M.D.

  • Obstetrics & Gynecology Physician
  • Livonia, MI
National Provider Identifier
1265554216
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301082367 Issued in MI
Practice address
17940 Farmington Road
Livonia, MI 48152
Phone
(248) 423-2410
Fax
(248) 423-2576
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 4301082367 MI Primary

Addresses

Primary practice location

17940 Farmington Road
Livonia, MI 48152

Mailing address

3601 W. 13 Mile Road 400 FSC
Physician Contract Services
Royal Oak, MI 48073
Phone (248) 423-2410

Other practice location 1

3960 W Royal Dr
Traverse City, MI 49684-9200
Phone (231) 947-0404

Other practice location 2

14651 W Upright St
Charlevoix, MI 49720-1266
Phone (231) 547-4477

Other practice location 3

829 N Center Ave Ste 200
Gaylord, MI 49735-1598
Phone (989) 731-2105

Other practice location 4

7985 S Mackinaw Trl
Cadillac, MI 49601-8111
Phone (231) 876-6100

Other practice location 5

1250 E Michigan Ave Ste C
Grayling, MI 49738-7074
Phone (989) 348-0550

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
I20071023000559 MI Practitioner - Obstetrics/Gynecology 2567558406 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11885 E 12 Mile
202A Macomb Academic Clinic OB GYN
Warren, MI 48093-3469
Phone (586) 582-7090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301082367MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Grayling Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Apr 19, 2024 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Apr 19, 2024 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Obstetrics & Gynecology CurrentSince Mar 1, 2022 Accepting new patients
Munson Healthcare Grayling CurrentSince Jan 3, 2025 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Sep 12, 2018 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Mar 4, 2024 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Apr 19, 2024 Accepting new patients
Munson Healthcare Grayling CurrentSince Jan 3, 2025 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Jan 30, 2015 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Munson Healthcare Cadillac CurrentSince Apr 19, 2024 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Mar 1, 2022 Accepting new patients
Munson Healthcare Cadillac CurrentSince Apr 19, 2024 Accepting new patients
Munson Healthcare Charlevoix Hospital Obstetrics & Gynecology Current Accepting new patients
Jure Grahovac, M.D., P.C. Obstetrics & Gynecology CurrentSince Jul 7, 2014 Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince Mar 4, 2024 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Apr 19, 2024 Accepting new patients
Oakwood Ambulatory LLC Obstetrics & Gynecology CurrentSince Jan 30, 2015 Accepting new patients
Munson Healthcare Grayling Past Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients

Locations

3781 Momentum Pl
Chicago, IL 60689

3782 Momentum Pl
Chicago, IL 60689

7445 Allen Rd
Ste 190
Allen Park, MI 48101
Phone (313) 382-0151

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

7985 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 825-8101

14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

829 N Center Ave
Ste 200
Gaylord, MI 49735
Phone (989) 731-2105

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1250 E Michigan Ave
Ste C
Grayling, MI 49738
Phone (989) 348-0550

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481

3601 W 13 Mile Rd
Royal Oak, MI 48073

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

11885 E 12 Mile Rd
Ste 202A
Warren, MI 48093
Phone (586) 582-7060

11012 E 13 Mile Rd
Ste 212
Warren, MI 48093
Phone (586) 582-7090

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61308
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d63001e8-2b2d-46b2-9b8b-4bc37428b829/

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 2

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1265554216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W. 13 MILE ROAD 400 FSC",
            "address_2": "PHYSICIAN CONTRACT SERVICES",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-423-2410",
            "fax_number": "248-423-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON ROAD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "248-423-2410",
            "fax_number": "248-423-2576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 W Royal Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496849200",
            "country_code": "US",
            "telephone_number": "231-947-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14651 W Upright St",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201266",
            "country_code": "US",
            "telephone_number": "231-547-4477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-2105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7985 S Mackinaw Trl",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496018111",
            "country_code": "US",
            "telephone_number": "231-876-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Michigan Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497387074",
            "country_code": "US",
            "telephone_number": "989-348-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSWORTH",
        "first_name": "DESPINA",
        "middle_name": "ZEFIRAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301082367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.