Individual provider Active NPI

George Grunberger, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Bloomfield Hills, MI
National Provider Identifier
1477558450
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301049764 Issued in MI
Practice address
43494 Woodward Ave
Ste 208
Bloomfield Hills, MI 48302-5054
Phone
(248) 335-7740
Fax
(248) 338-7979
NPI assigned
Jun 16, 2005
Reactivated
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301049764 MI Primary

Addresses

Primary practice location

43494 Woodward Ave
Ste 208
Bloomfield Hills, MI 48302-5054

Mailing address

43494 Woodward Ave
Ste 208
Bloomfield Hills, MI 48302-5054
Phone (248) 335-7740

Other identifiers 2

IdentifierTypeStateIssuer
37-1417837OtherMITAX ID
0634461OtherMIBCBS MICHIGAN

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
I20100805000039 MI Practitioner - Internal MedicinePractitioner - Endocrinology 6800882614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
New York University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grunberger Diabetes Medical Center PCGroup PAC ID 9739175530, 3 clinicians

Practice addresses (Care Compare)

43494 Woodward Ave
Suite 208
Bloomfield Hills, MI 48302-5054
Phone (248) 335-7740

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301049764MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grunberger Diabetes Medical Center, PC Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2002 Accepting new patients
HFWL Company Endocrinology, Diabetes & Metabolism CurrentSince Jul 6, 2025 Accepting new patients

Locations

43494 Woodward Ave
Ste 208
Bloomfld Hls, MI 48302
Phone (248) 335-7740

43494 Woodward Ave
Ste 2
Bloomfld Hls, MI 48302

2177 Auburn Rd
Ste C
Shelby Township, MI 48317
Phone (240) 416-3359

Organizations & group practices 2

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1477558450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE",
            "address_2": "STE 208",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025054",
            "telephone_number": "248-335-7740",
            "fax_number": "248-338-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE",
            "address_2": "STE 208",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025054",
            "telephone_number": "248-335-7740",
            "fax_number": "248-338-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNBERGER",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2011-10-10",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301049764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "37-1417837",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "0634461",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.