Active NPI
George Grunberger, MD
- Endocrinology, Diabetes & Metabolism Physician
- Bloomfield Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 4301049764
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37-1417837 | Other | MI | TAX ID |
| 0634461 | Other | MI | BCBS 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301049764 | MI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grunberger Diabetes Medical Center, PC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| HFWL Company | Endocrinology, Diabetes & Metabolism | Current | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Bloomfield Hills, MI
- NPI 1215154497
-
- Endocrinology, Diabetes & Metabolism Physician
- Shelby Township, MI
- NPI 1205720208
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.