Individual provider Active NPI

Andrew Philip Jovanovski, M.D.

  • Obstetrics & Gynecology Physician
  • Clinton Township, MI
National Provider Identifier
1437460714
Registry record updated Apr 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301106236 Issued in MI
Practice address
39200 Garfield Rd Ste B
Clinton Township, MI 48038-4095
Phone
(586) 286-6060
NPI assigned
Jul 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301106236 MI Primary

Addresses

Primary practice location

39200 Garfield Rd Ste B
Clinton Township, MI 48038-4095

Mailing address

403 Manor St
Grosse Pointe Farms, MI 48236-3210
Phone (313) 605-7863

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
I20141118000176 MI Practitioner - Obstetrics/Gynecology 0345462891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11885 E 12 Mile
202A Macomb Academic Clinic OB GYN
Warren, MI 48093-3469
Phone (586) 582-7090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301106236MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Feb 1, 2020 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Nov 3, 2014 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Obstetrics & Gynecology CurrentSince Feb 1, 2020 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince Nov 3, 2014 Accepting new patients
Together Women's Health Medical Group, P.C. Obstetrics & Gynecology PastSince Jun 1, 2021 Accepting new patients
Comprehensive Woman's Care, PC Obstetrics & Gynecology PastSince Jul 29, 1996 Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22151 Moross Rd
Ste 311
Grosse Pointe, MI 48236
Phone (313) 343-7798

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

11885 E 12 Mile Rd
Ste 202A
Warren, MI 48093
Phone (586) 582-7060

11012 E 13 Mile Rd
Ste 212
Warren, MI 48093
Phone (586) 582-7090

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23349/brand/5/csg/61/fhir/r4
  • Direct secure messaging: ajovanovski363193@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523059200000",
    "number": "1437460714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MANOR ST",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363210",
            "telephone_number": "313-605-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39200 GARFIELD RD STE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384095",
            "telephone_number": "586-286-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVANOVSKI",
        "first_name": "ANDREW",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2018-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301106236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.