Individual provider Active NPI

Jeremy Aron Grekin, MD

  • Dermatology Physician
  • Warren, MI
National Provider Identifier
1770141509
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4351044595 Issued in MI
Practice address
13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone
(586) 759-5525
Fax
(586) 759-4022
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4351044595 MI Primary

Addresses

Primary practice location

13450 E 12 Mile Rd
Warren, MI 48088-3671

Mailing address

13450 E 12 Mile Rd
Warren, MI 48088-3671

Other practice location 1

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (808) 778-5001

Other practice location 2

26400 W 12 Mile Rd Ste 150
Southfield, MI 48034-1771
Phone (248) 353-0818

Other practice location 3

13717 23 Mile Rd
Shelby Township, MI 48315-2907
Phone (586) 580-9417

Other practice location 4

42505 Woodward Ave Ste 100
Bloomfield Hills, MI 48304-5147
Phone (248) 353-0818

Other identifiers 1

IdentifierTypeStateIssuer
4351044595MedicaidMI

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
I20230614001798 MI Practitioner - Dermatology 1052646221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians

Practice addresses (Care Compare)

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
81.43
Promoting interoperability
82
Improvement activities
40
Cost
80.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision72
Removal of skin lesions1232
Removal or shaving of skin growth1-10
Skin biopsy297

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Michigan PC Dermatology CurrentSince Jul 31, 2023 Accepting new patients
Steven K. Grekin, D.O., P.C. Dermatology Past Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

42505 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 353-0818

16826 Newburgh Rd
Livonia, MI 48154
Phone (734) 464-8400

4170 Cedar Bluff Dr
Petoskey, MI 49770

13717 23 Mile Rd
Shelby Township, MI 48315
Phone (586) 580-9417

26400 W 12 Mile Rd
Ste 150
Southfield, MI 48034
Phone (248) 353-0818

13450 E 12 Mile Rd
Warren, MI 48088
Phone (586) 759-5525

13450 E 12 Mile Rd
Ste 2
Warren, MI 48088

1500 Eureka Rd
Wyandotte, MI 48192
Phone (734) 282-2500

Interoperability endpoints

  • Direct secure messaging: jgrekin450899@direct.hfhs.org

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.

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1770141509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883671",
            "telephone_number": "586-759-5525",
            "fax_number": "586-759-4022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "808-778-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26400 W 12 Mile Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341771",
            "country_code": "US",
            "telephone_number": "248-353-0818",
            "fax_number": "248-353-6717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13717 23 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483152907",
            "country_code": "US",
            "telephone_number": "586-580-9417",
            "fax_number": "586-884-8274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42505 Woodward Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483045147",
            "country_code": "US",
            "telephone_number": "248-353-0818",
            "fax_number": "248-353-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREKIN",
        "first_name": "JEREMY",
        "middle_name": "ARON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4351044595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4351044595",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.