Individual provider Active NPI

Gregory M Oldford, MD

  • Urology Physician
  • West Bloomfield, MI
National Provider Identifier
1376508762
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301051913 Issued in MI
Practice address
2300 Haggerty Rd
Suite 2000
West Bloomfield, MI 48323-2184
Phone
(248) 624-9900
Fax
(248) 896-5450
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301051913 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd
Suite 2000
West Bloomfield, MI 48323-2184

Mailing address

20952 E 12 Mile Rd
Suite 200
St Clair Shores, MI 48081-3200
Phone (586) 771-4820

Other identifiers 6

IdentifierTypeStateIssuer
0991057OtherMIHEALTH PLUS
340019049OtherMIRAILROAD MEDICARE
4338197OtherMIAETNA
6906739004OtherMICIGNA
126231OtherMIPRIORITY HEALTH
F31980OtherMIHAP

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
I20050214001005 MI Practitioner - Urology 6406808831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Wayne State University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians

Practice addresses (Care Compare)

130 Town Ctr Dr
Troy, MI 48084-1744

19117 Allen Rd
Suite a
Brownstown TWP, MI 48183-1066
Phone (734) 676-4040

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820

2300 Genoa Business Park Dr
Suite 120
Brighton, MI 48114-7368
Phone (810) 900-3220

25500 Meadowbrook Rd
Suite 225
Novi, MI 48375-1882
Phone (248) 426-1300

29275 Northwestern Hwy
Suite 120
Southfield, MI 48034-1044
Phone 58677148202072

33014 5 Mile Rd
Livonia, MI 48154-3075
Phone (734) 261-7401

5701 Bow Pointe Dr
Suite 250
Clarkston, MI 48346-5405
Phone (248) 620-6660

Hospital & facility affiliations

  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services of Michigan, P.C. Urology CurrentSince Sep 1, 2001 Accepting new patients
Michigan Institute of Urology PC Urology CurrentSince Sep 1, 2001 Accepting new patients
Michigan United Physicians PC Urology Past Accepting new patients

Locations

1 William Carls Dr
Ste 210
Commerce Twp, MI 48382
Phone (248) 387-2733

1637 Monroe St
Dearborn, MI 48124
Phone (313) 278-1700

18100 Oakwood Blvd
Ste 315
Dearborn, MI 48124
Phone (313) 271-0066

15959 Hall Rd
Ste 401
Macomb, MI 48044
Phone (586) 412-5700

25500 Meadowbrook Rd
Ste 225
Novi, MI 48375
Phone (248) 426-1300

1701 South Blvd E
Ste 340
Rochester Hills, MI 48307
Phone (248) 293-1000

3535 W 13 Mile Rd
Ste 407
Royal Oak, MI 48073
Phone (248) 551-0638

12660 10 Mile Rd
South Lyon, MI 48178
Phone (248) 348-1131

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

2128 W Jefferson Ave
Trenton, MI 48183
Phone (734) 676-4040

4550 Investment Dr
Ste 290
Troy, MI 48098
Phone (248) 267-9700

130 Town Center Dr
Ste 101
Troy, MI 48084
Phone (248) 740-0670

11051 Hall Rd
Ste 200
Utica, MI 48317
Phone (586) 254-5759

2300 Haggerty Rd
Ste 2000
West Bloomfield, MI 48323
Phone (248) 624-9900

Interoperability endpoints

  • Direct secure messaging: goldford45606@direct.trinity-health.org
  • Direct secure messaging: goldford@direct.dmc.org

Organizations & group practices 3

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 7

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1376508762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD",
            "address_2": "SUITE 200",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813200",
            "telephone_number": "586-771-4820",
            "fax_number": "586-771-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2000",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-624-9900",
            "fax_number": "248-896-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDFORD",
        "first_name": "GREGORY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301051913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0991057",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340019049",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4338197",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6906739004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "126231",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "F31980",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.