Individual provider Active NPI

Lindsay Beros, MD

  • Obstetrics & Gynecology Physician
  • Chesterfield, MI
National Provider Identifier
1780892661
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301081754 Issued in MI
Practice address
30795 23 Mile Rd Ste 208
Chesterfield, MI 48047-5721
Phone
(586) 421-3160
Fax
(586) 421-3161
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301081754 MI Primary

Addresses

Primary practice location

30795 23 Mile Rd Ste 208
Chesterfield, MI 48047-5721

Mailing address

30795 23 Mile Rd Ste 208
Chesterfield, MI 48047-5721
Phone (586) 421-3160

Other practice location 1

51086 Fairchild Rd
Chesterfield, MI 48051-1998
Phone (586) 421-3160

Other names 1

  • Lindsay Grajewski Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lberos4651@direct.hfhs.org

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
I20071001000079 MI Practitioner - Obstetrics/Gynecology 8527153915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tufts University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

16360 26 Mile Rd
Macomb, MI 48042-1057
Phone (586) 336-2390

51221 Schoenherr Rd
Suite 201
Shelby Township, MI 48315-2718
Phone (586) 254-3545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081754MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Dec 27, 2015 Accepting new patients
Henry Ford Health System Obstetrics & Gynecology CurrentSince Jan 24, 2020 Accepting new patients
Henry Ford Health System CurrentSince Jan 24, 2020 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Macomb Hospital Corporation Obstetrics & Gynecology CurrentSince Dec 27, 2015 Accepting new patients

Locations

30795 23 Mile Rd
Ste 208
Chesterfield, MI 48047
Phone (586) 421-3160

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

51086 Fairchild Rd
Chesterfield, MI 48051
Phone (586) 421-3160

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

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

17700 23 Mile Rd
Ste 303
Macomb, MI 48044
Phone (313) 343-7900

51221 Schoenherr Rd
Ste 201
Shelby Township, MI 48315
Phone (586) 254-3545

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 3

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1780892661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD STE 208",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475721",
            "telephone_number": "586-421-3160",
            "fax_number": "586-421-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD STE 208",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475721",
            "telephone_number": "586-421-3160",
            "fax_number": "586-421-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51086 Fairchild Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480511998",
            "country_code": "US",
            "telephone_number": "586-421-3160",
            "fax_number": "586-421-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEROS",
        "first_name": "LINDSAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301081754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lberos4651@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "30795 23 Mile Rd Ste 208",
            "city": "Chesterfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480475721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "GRAJEWSKI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.