Barry J Gross, D.O.
Individual provider Active NPI Family Medicine Physician · Fair Haven, MI
NPI 1811952294 · NPPES record last updated Feb 16, 2022
Key facts
- NPI
- 1811952294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101007067 (MI)
- Practice address
- 9838 Dixie Hwy
Fair Haven, MI 48023-2813 - Phone
- (586) 725-9611
- Fax
- (586) 725-2630
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Powerback Rehabilitation LLC
Practice addresses (Care Compare)
44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267
9838 Dixie Hwy
Fair Haven, MI 48023-2813
Hospital & facility affiliations
- McLaren Macomb
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081022000053 | MI | Practitioner - Family Practice |
9537227434 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007067 | MI | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Point Medical Center PC | Family Medicine | Current |
Accepting new patients |
| Michigan Spine & Joint Center P.C. | Current | Accepting new patients | |
| Michigan Spine & Joint Center P.C. | Current |
Accepting new patients |
Locations
32500 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 725-3100
9838 Dixie Hwy
Ira, MI 48023
Phone (313) 725-9611
Interoperability endpoints
- bgross240449@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 5101007067 | MI | |
| Family Medicine Physician | 207Q00000X | 5101007067 | MI | Yes |
Addresses
Primary practice location
9838 Dixie Hwy
Fair Haven, MI 48023-2813
Mailing address
9838 Dixie Hwy
Fair Haven, MI 48023-2813
Phone (586) 725-9611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1097101 | Medicaid | MI |
Other providers in Fair Haven, MI
All providers in Fair Haven, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.