Individual provider Active NPI

Delorean Q Griffin, M.D.

  • Plastic Surgery Physician
  • Detroit, MI
National Provider Identifier
1609000819
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301090317 Issued in MI
Practice address
4160 John R
400
Detroit, MI 48202-2819
Phone
(313) 745-7514
NPI assigned
May 4, 2009
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 4301090317 MI Primary

Addresses

Primary practice location

4160 John R
400
Detroit, MI 48202-2819

Mailing address

6900 Orchard Lake Rd Ste 105
West Bloomfield, MI 48322-3424
Phone (248) 557-7788

Other identifiers 1

IdentifierTypeStateIssuer
4301090317MedicaidMI

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
I20130110000349 MI Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 6800049420 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System CurrentSince Oct 1, 2012 Accepting new patients
Griffin Plastics PLLC Plastic Surgery CurrentSince Mar 1, 2021 Accepting new patients
Henry Ford Health System CurrentSince Oct 1, 2012 Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

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

Interoperability endpoints

  • Direct secure messaging: dgriffin95062@direct.hfhs.org

Organizations & group practices 4

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": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1609000819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 ORCHARD LAKE RD STE 105",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223424",
            "telephone_number": "248-557-7788",
            "fax_number": "248-557-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R",
            "address_2": "400",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022819",
            "telephone_number": "313-745-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DELOREAN",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301090317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301090317",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.