Organization Active NPI

Jure Grahovac, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
National Provider Identifier
1629158167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301035488 Issued in MI
Legal business name
JURE GRAHOVAC, M.D., P.C.
Practice address
18181 Oakwood Blvd
Dearborn, MI 48124-5032
Phone
(313) 271-0640
NPI assigned
Oct 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jure Grahovac, MDNPI 1679533509
Title
President
Phone
(313) 271-0640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 4301035488 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd
Dearborn, MI 48124-5032

Mailing address

18181 Oakwood Blvd Ste 203
Dearborn, MI 48124-4082
Phone (313) 271-0640

Other identifiers 1

IdentifierTypeStateIssuer
1388163MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070823000137 MI Part B Supplier - Clinic/Group Practice 3577655455 Receives reassigned benefits from 6 practitioners
Practice locations: Allen Park, MI

National Provider Directory

National Provider Directory

Locations

16407 Southfield Rd
Allen Park, MI 48101
Phone (313) 271-3000

7445 Allen Rd
Ste 190
Allen Park, MI 48101
Phone (313) 382-0151

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629158167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 203",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244082",
            "telephone_number": "313-271-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032",
            "telephone_number": "313-271-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURE GRAHOVAC, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHOVAC",
        "authorized_official_first_name": "JURE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-271-0640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301035488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1388163",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.