NPIMap

Individual provider Active NPI

Marija Jamie Grahovac, M.D.

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
National Provider Identifier
1831237957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301082352 Issued in MI
Practice address
18181 Oakwood Blvd
Suite# 203
Dearborn, MI 48124-5032
Phone
(313) 271-0640
Fax
(313) 271-1427
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4301082352 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd
Suite# 203
Dearborn, MI 48124-5032

Mailing address

21757 Garrison St
Dearborn, MI 48124-2368
Phone (313) 565-0347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070830000626 MI Practitioner - Obstetrics/Gynecology 1951494384 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jure Grahovac MD PCGroup PAC ID 3577655455, 4 clinicians

Practice addresses (Care Compare)

7445 Allen Rd
Suite 190
Allen Park, MI 48101-1993
Phone (313) 382-0244

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Obstetrics & Gynecology CurrentSince Dec 30, 2012 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Dec 30, 2012 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Aug 29, 2018 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Youth Programs, LLC Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

18181 Oakwood Blvd
Ste 200
Dearborn, MI 48124
Phone (313) 271-0640

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: mgrahovac1235759@epic00.shdirect.org

Ownership & related parties

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Corewell Health Beaumont Grosse Pointe HospitalGrosse Pointe, MI, CCN 230089 Hospital Corporate Director Jan 1, 2025
Corewell Health Farmington Hills HospitalFarmington Hills, MI, CCN 230151 Hospital Corporate Director Jan 1, 2025
Corewell Health Farmington Hills HospitalFarmington Hills, MI, CCN 23T151 Hospital Corporate Director (100%) Jan 1, 2025
Corewell Health Beaumont Troy HospitalTroy, MI, CCN 230269 Hospital Corporate Director Jan 1, 2025
Corewell Health William Beaumont University HospitalRoyal Oak, MI, CCN 230130 Hospital Corporate Director Jan 1, 2025
Corewell Health William Beaumont University Hospital Rehab UnitRoyal Oak, MI, CCN 23T130 Hospital Corporate Director Jan 1, 2025
Corewell Health Trenton HospitalTrenton, MI, CCN 230176 Hospital Corporate Director Jan 1, 2025
Corewell Health Dearborn HospitalDearborn, MI, CCN 230020 Hospital Corporate Director Jan 1, 2025
Corewell Health Taylor HospitalTaylor, MI, CCN 230270 Hospital Corporate Director Jan 1, 2025
Corewell Health Taylor HospitalTaylor, MI, CCN 23T270 Hospital Corporate Director Jan 2, 2025
Corewell Health Wayne HospitalWayne, MI, CCN 230142 Hospital Corporate Director Jan 1, 2025
Corewell Health Beaumont Troy HospitalTroy, MI, CCN 23T269 Hospital Corporate Director Jan 1, 2025
Corewell Health Children's Patch ProgramSouthfield, MI, CCN 231685 Hospice Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 22

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 22

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 7

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831237957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21757 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242368",
            "telephone_number": "313-565-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "address_2": "SUITE# 203",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032",
            "telephone_number": "313-271-0640",
            "fax_number": "313-271-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHOVAC",
        "first_name": "MARIJA",
        "middle_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301082352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.