Active NPI
Steven Kenneth Grekin, D.O.
- Dermatology Physician
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 5101010630
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1005 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 183 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267094 | NY | MD | Licensed Practical Nurse |
| 5101010630 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of Rhode Island, PC | Dermatology | Current | Accepting new patients |
| Advanced Dermatology of Michigan PC | Dermatology | Current | Accepting new patients |
| Leavitt Medical Associates of Florida Inc | Dermatology | Current | Accepting new patients |
| Leavitt Medical Associates of Florida Inc | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Wyandotte, MI
- NPI 1851708929
-
- Dermatology Physician
- East Greenwich, RI
- NPI 1386185759
-
dba Advanced Dermatology and Cosmetic Surq
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
dba advanced dermatology and cosmetic surgery
- Dermatology Physician
- Miami Lakes, FL
- NPI 1780842286
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.