Active NPI
Mitchell P Dombrowski, MD
- Maternal & Fetal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 4301042260
- Practice address
- 22151 Moross Rd
313
Detroit, MI 48236-2167 - Phone
- (313) 343-3494
- Fax
- (313) 343-4932
- NPI assigned
- Sep 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 4301042260 | MI | Primary |
Addresses
Primary practice location
22151 Moross Rd
313
Detroit, MI 48236-2167
Mailing address
43800 Garfield Rd
Clinton TWP, MI 48038-1136
Phone (800) 848-0202
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4152520 | Medicaid | MI | |
| 4169652 | Medicaid | MI | |
| 5216532 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301042260 | MI | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb-Oakland Hospital | Maternal & Fetal Medicine | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Maternal & Fetal Medicine | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| University Women'S Care, Inc | Past | Accepting new patients |
Locations
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
30055 Northwestern Hwy
Ste 235
Farmington Hills, MI 48334
Phone (248) 737-4600
22151 Moross Rd
Ste 313
Grosse Pointe, MI 48236
Phone (313) 343-3494
27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326
11012 E 13 Mile Rd
Ste 212
Warren, MI 48093
Phone (586) 582-7090
28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944
11012 E 13 Mile Rd
Warren, MI 48093
Phone (586) 573-8890
11885 E 12 Mile Rd
Ste 202A
Warren, MI 48093
Phone (586) 582-7060
Interoperability endpoints
- mdombrowski1125440@direct.hfhs.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Warren, MI
- NPI 1134176472
Maternal & Fetal Medicine
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
-
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- Obstetrics & Gynecology Physician
- Southfield, MI
- NPI 1912962978
Maternal & Fetal Medicine
-
- Obstetrics & Gynecology Physician
- Detroit, MI
- NPI 1780623637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1396730255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43800 GARFIELD RD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480381136",
"telephone_number": "800-848-0202",
"fax_number": "586-226-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22151 MOROSS RD",
"address_2": "313",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362167",
"telephone_number": "313-343-3494",
"fax_number": "313-343-4932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMBROWSKI",
"first_name": "MITCHELL",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MI",
"license": "4301042260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4152520",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4169652",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5216532",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.