Individual provider Active NPI

Lauren H. Groskaufmanis, MD

  • Family Medicine Physician
  • South Lyon, MI
National Provider Identifier
1306330576
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301504435 Issued in MI
Practice address
210 N Lafayette St
South Lyon, MI 48178-2048
Phone
(248) 437-1744
Fax
(248) 437-3245
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301504435 MI Primary

Addresses

Primary practice location

210 N Lafayette St
South Lyon, MI 48178-2048

Mailing address

2300 Biddle Ave
Wyandotte, MI 48192-4650
Phone (734) 246-5705

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
I20210913000855 MI Practitioner - Family Practice 1254687387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians

Practice addresses (Care Compare)

210 N Lafayette St
Providence Medical Center South Lyon
South Lyon, MI 48178-2048
Phone (248) 437-1744

Hospital & facility affiliations

  • Residential Home Health Home health agency, Troy, MI, CCN 237459
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dma Urgent Care, PLLC CurrentSince Aug 19, 2021 Accepting new patients
Ghazwan Atto MD PC Family Medicine CurrentSince Aug 19, 2021 Accepting new patients
Henry Ford Health Providence Hospital Family Medicine CurrentSince Feb 21, 2023 Accepting new patients
Fadi Delly, MD PC CurrentSince Aug 1, 2021 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Feb 21, 2023 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

210 N Lafayette St
South Lyon, MI 48178
Phone (248) 437-1744

22250 Providence Dr
Fl 5
Southfield, MI 48075
Phone (248) 849-3441

22250 Providence Dr
Ste 500
Southfield, MI 48075
Phone (248) 849-3441

2300 Biddle Ave
#100
Wyandotte, MI 48192
Phone (734) 246-5705

2300 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-5705

Interoperability endpoints

  • Direct secure messaging: lgroskaufmanis740114@direct.hfhs.org
  • Direct secure messaging: lauren.groskaufmanis.1@16555.direct.athenahealth.com

Organizations & group practices 8

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 4

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1306330576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924650",
            "telephone_number": "734-246-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N LAFAYETTE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481782048",
            "telephone_number": "248-437-1744",
            "fax_number": "248-437-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSKAUFMANIS",
        "first_name": "LAUREN",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301504435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

Verify at the official NPI Registry.