Grace Endocrine Services PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GRACE ENDOCRINE SERVICES PLLC

Practice address

21510 Harrington St Ste 303
Clinton Township, MI 48036-2378

Phone

(586) 741-5346

Fax

(586) 741-8886

NPI assigned

Oct 13, 2018

Last updated

Feb 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Berhane Seyoum, MDNPI 1699702241

Title

Owner/Provider

Phone

(586) 741-5346

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Berhane Seyoum, MD, MPH

  • Endocrinology, Diabetes & Metabolism Physician
  • Detroit, MI
  • NPI 1699702241

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Rita N Shah, MSN FNP-BC

  • Primary Care Nurse Practitioner
  • Clinton Township, MI
  • NPI 1487265559
  Medicare reassignment Care Compare group NPD
• Ruth Habtom Weldekristos

  • Acute Care Nurse Practitioner
  • NPI 1851191639

  MI

  Medicare reassignment Care Compare group NPD
• Aradhana Addepalli, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Detroit, MI
  • NPI 1235213315

  Internal Medicine

  Medicare reassignment NPD
• Maria Ashley Barron

  • Acute Care Nurse Practitioner
  • Detroit, MI
  • NPI 1558022335
  Medicare reassignment NPD
• Janefrances Chukwu, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Ypsilanti, MI
  • NPI 1437106093

  Internal Medicine

  Medicare reassignment NPD
• Tsega Negassi Tesfay

  • Nurse Practitioner
  • Shelby Township, MI
  • NPI 1225542202
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1851866172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21510 HARRINGTON ST STE 303",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362378",
            "telephone_number": "586-741-5346",
            "fax_number": "586-741-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21510 HARRINGTON ST STE 303",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362378",
            "telephone_number": "586-741-5346",
            "fax_number": "586-741-8886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6540 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "481012095",
            "country_code": "US",
            "telephone_number": "586-741-5346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE ENDOCRINE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "SEYOUM",
        "authorized_official_first_name": "BERHANE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "586-741-5346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philesha Gough
• Trista Gould, LLMSW
• Demetrius Govan
• Kathleen Lillian Graca
• Grace 21 Hospice Agency LLC
• Mira Grace, MD
• Denise Graham, MD
• Amy Danielle Gramzow, D.C.
• Andrew Orendain Granada
• Kelly Nagel Grant, NP

• Internal Medicine Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.