Individual provider Active NPI

Steven Kenneth Grekin, D.O.

  • Dermatology Physician
  • Warren, MI
National Provider Identifier
1407836877
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5101010630 Issued in MI
Practice address
13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone
(586) 759-5525
Fax
(586) 759-4765
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS14651 FL
Dermatology Physician 207N00000X 5101010630 MI Primary

Addresses

Primary practice location

13450 E 12 Mile Rd
Warren, MI 48088-3671

Mailing address

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525

Other practice location 1

1503 Buenos Aires Blvd Ste 100
Lady Lake, FL 32159-6825
Phone (352) 753-2812

Other practice location 2

48801 Romeo Plank Rd Ste 103B
Macomb, MI 48044-2165
Phone (734) 282-2500

Other practice location 3

1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone (734) 282-2500

Other practice location 4

42505 Woodward Ave Ste 100
Bloomfield Hills, MI 48304-5147
Phone (248) 353-0818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, RI, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070710000397 MI Practitioner - Dermatology 0143320986 Reassigns benefits to 1 organization
I20190109001327 RI Practitioner - Dermatology 0143320986 Reassigns benefits to 1 organization
I20211014003333 FL Practitioner - Dermatology 0143320986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians

Practice addresses (Care Compare)

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1005
Removal or shaving of skin growth1-10
Skin biopsy183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267094NYMDLicensed Practical Nurse
5101010630MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Rhode Island, PC Dermatology CurrentSince Jan 1, 2019 Accepting new patients
Advanced Dermatology of Michigan PC Dermatology CurrentSince May 4, 2015 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Nov 1, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Nov 1, 2021 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

82245 Overseas Hwy
Islamorada, FL 33036
Phone (305) 664-0700

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

3755 7th Ter
Vero Beach, FL 32960
Phone (772) 569-5056

42505 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 353-0818

36700 Woodward Ave
Ste 203
Bloomfield Hills, MI 48304
Phone (248) 519-2959

416 S Creyts Rd
Ste A
Lansing, MI 48917
Phone (517) 886-0333

26411 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 424-8000

16826 Newburgh Rd
Livonia, MI 48154
Phone (734) 464-8400

48801 Romeo Plank Rd
Ste 103B
Macomb, MI 48044
Phone (586) 323-1500

1215 N Telegraph Rd
Monroe, MI 48162
Phone (734) 242-4848

4170 Cedar Bluff Dr
Petoskey, MI 49770

13717 23 Mile Rd
Shelby Township, MI 48315
Phone (586) 580-9417

13467 23 Mile Rd
Shelby Township, MI 48315
Phone (248) 267-5040

26400 W 12 Mile Rd
Ste 150
Southfield, MI 48034
Phone (248) 353-0818

15400 Trenton Rd
Southgate, MI 48195
Phone (248) 569-8400

13450 E 12 Mile Rd
Warren, MI 48088
Phone (586) 759-5525

13450 E 12 Mile Rd
Ste 2
Warren, MI 48088

1500 Eureka Rd
Wyandotte, MI 48192
Phone (734) 282-2500

1351 S County Trl
Ste 302
East Greenwich, RI 02818
Phone (401) 471-6405

Interoperability endpoints

  • Direct secure messaging: steven.grekin@adcs1.emadirect.md

Organizations & group practices 4

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 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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1407836877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883671",
            "telephone_number": "586-759-5525",
            "fax_number": "586-619-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883671",
            "telephone_number": "586-759-5525",
            "fax_number": "586-759-4765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1503 Buenos Aires Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321596825",
            "country_code": "US",
            "telephone_number": "352-753-2812",
            "fax_number": "352-753-5037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48801 Romeo Plank Rd Ste 103B",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480442165",
            "country_code": "US",
            "telephone_number": "734-282-2500",
            "fax_number": "734-282-6397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "481926103",
            "country_code": "US",
            "telephone_number": "734-282-2500",
            "fax_number": "734-282-6397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42505 Woodward Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483045147",
            "country_code": "US",
            "telephone_number": "248-353-0818",
            "fax_number": "248-353-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREKIN",
        "first_name": "STEVEN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS14651",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101010630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.