Individual provider Active NPI

John Grabowski, M.D

  • Psychiatry Physician
  • Detroit, MI
National Provider Identifier
1477517191
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301048493 Issued in MI
Practice address
4646 John R St
Detroit, MI 48201-1916
Phone
(313) 576-4906
Fax
(313) 576-1091
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301048493 MI Primary
Addiction Psychiatry Physician 2084P0802X 4301048493 MI

Addresses

Primary practice location

4646 John R St
Detroit, MI 48201-1916

Mailing address

PO Box 361038
Grosse Pointe Farms, MI 48236-5038
Phone (586) 582-7979

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
I20060719000073 MI Practitioner - Psychiatry 8921011834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27550 Schoenherr Rd
Suite 300
Warren, MI 48088-6676
Phone (586) 582-7979

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301048493MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc Psychiatry CurrentSince Mar 20, 2018 Accepting new patients
Lakeland Medical Practices CurrentSince Sep 30, 2015 Accepting new patients
McLaren Port Huron Psychiatry CurrentSince Jan 24, 2017 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Mar 20, 2018 Accepting new patients
McLaren Port Huron CurrentSince Jan 24, 2017 Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Lakeland Medical Practices CurrentSince Sep 30, 2015 Accepting new patients
John Grabowski, M.D., P.L.L.C. Psychiatry CurrentSince Jul 26, 2022 Accepting new patients
University Physician Group Past Accepting new patients

Locations

4646 John R St
Detroit, MI 48201
Phone (313) 576-3389

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

1209 Richardson St
Port Huron, MI 48060
Phone (810) 984-5156

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

27550 Schoenherr Rd
Ste 300
Warren, MI 48088
Phone (586) 582-7979

Interoperability endpoints

  • Direct secure messaging: jgrabowski496634@direct.hfhs.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1477517191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361038",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482365038",
            "telephone_number": "586-582-7979",
            "fax_number": "586-582-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-4906",
            "fax_number": "313-576-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOWSKI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301048493",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MI",
            "license": "4301048493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.