Active NPI
Jure Grahovac
- Obstetrics & Gynecology Physician
- Dearborn, MI
National Provider Identifier
1679533509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301035488
- Practice address
- 5050 Schaefer Rd
Dearborn, MI 48126-3249 - Phone
- (313) 581-2600
- Fax
- (313) 581-0228
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | JG035488 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301035488 | MI | Primary |
Addresses
Primary practice location
5050 Schaefer Rd
Dearborn, MI 48126-3249
Mailing address
4760 W Wickford
Bloomfield, MI 48302-2381
Phone (248) 644-7234
Other practice location 1
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160H261380 | Other | MI | BCBSM/BCN |
| 106465 | Other | MI | GREAT LAKES HEALTH PLAN |
| 118668 | Other | MI | CARE CHOICES |
| 001010 | Other | MI | MIDWEST HEALTH PLAN |
| 24979 | Other | MI | OMNICARE HEALTH PLAN |
| 4564155 | Other | MI | AETNA |
| P00122436 | Other | MI | PALMETTO |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301035488 | MI | MD | Obstetrics & Gynecology Physician |
| JG035488 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Healthcare, Inc. | Past | Accepting new patients |
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.
-
- Obstetrics & Gynecology Physician
- Dearborn, MI
- NPI 1629158167
-
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1679533509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 W WICKFORD",
"city": "BLOOMFIELD",
"state": "MI",
"postal_code": "483022381",
"telephone_number": "248-644-7234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 SCHAEFER RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263249",
"telephone_number": "313-581-2600",
"fax_number": "313-581-0228"
}
],
"practiceLocations": [
{
"address_1": "18101 Oakwood Blvd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481244089",
"country_code": "US",
"telephone_number": "313-593-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHOVAC",
"first_name": "JURE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "JG035488",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301035488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM/BCN",
"identifier": "160H261380",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "106465",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "118668",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLAN",
"identifier": "001010",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMNICARE HEALTH PLAN",
"identifier": "24979",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4564155",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "P00122436",
"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 Feb 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.