Individual provider Active NPI

Gregory Monroe, D.O.

  • Family Medicine Physician
  • Westland, MI
National Provider Identifier
1598735557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009292 Issued in MI
Practice address
35150 Nankin Blvd
Suite 103
Westland, MI 48185-2091
Phone
(734) 513-1200
Fax
(734) 513-1201
NPI assigned
Jan 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101009292 MI Primary

Addresses

Primary practice location

35150 Nankin Blvd
Suite 103
Westland, MI 48185-2091

Mailing address

35150 Nankin Blvd
Suite 103
Westland, MI 48185-2091
Phone (734) 513-1200

Other identifiers 1

IdentifierTypeStateIssuer
4423060MedicaidMI

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
I20100303000405 MI Practitioner - Family Practice 6406991389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

6149 N Wayne Rd
Westland, MI 48185-7128
Phone (734) 728-1320

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101009292MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Physician Practices CurrentSince Jan 1, 2018 Accepting new patients
Michigan Healthcare Professionals PC Family Medicine Current Accepting new patients
St Mary Mercy Physician Practices CurrentSince Jan 1, 2018 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jun 1, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jun 1, 2023 Accepting new patients

Locations

31500 Telegraph Rd
Ste 130
Bingham Farms, MI 48025
Phone (248) 433-3803

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

Interoperability endpoints

  • Direct secure messaging: gmonroe26031@direct.trinity-health.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598735557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35150 NANKIN BLVD",
            "address_2": "SUITE 103",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852091",
            "telephone_number": "734-513-1200",
            "fax_number": "734-513-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35150 NANKIN BLVD",
            "address_2": "SUITE 103",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852091",
            "telephone_number": "734-513-1200",
            "fax_number": "734-513-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "GREGORY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4423060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.