Individual provider Active NPI

Andrew James Vosburgh, MD

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1891774972
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301048062 Issued in MI
Practice address
47601 Grand River Ave
B223
Novi, MI 48374-1233
Phone
(248) 465-4800
Fax
(248) 465-4872
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301048062 MI Primary

Addresses

Primary practice location

47601 Grand River Ave
B223
Novi, MI 48374-1233

Mailing address

47601 Grand River Ave Ste B230
Novi, MI 48374-1257
Phone (248) 465-4193

Other practice location 1

47601 Grand River Ave Ste B230
Novi, MI 48374-1257
Phone (248) 465-4193

Other identifiers 1

IdentifierTypeStateIssuer
175659110MedicaidMI

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
I20200304000605 MI Practitioner - Internal Medicine 8426356577 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301048062MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Borgess Hospital CurrentSince Dec 21, 2019 Accepting new patients
Henry Ford Health Providence Hospital Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Feb 1, 2021 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Ascension Borgess Hospital CurrentSince Dec 21, 2019 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Henry Ford Health System Internal Medicine Past Accepting new patients

Locations

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1521 Gull Rd
Ste 430
Kalamazoo, MI 49048
Phone (269) 226-5177

47601 Grand River Ave
#B223
Novi, MI 48374
Phone (248) 465-4800

47601 Grand River Ave
Ste B230
Novi, MI 48374
Phone (248) 465-4193

25925 Telegraph Rd
Ste 210
Southfield, MI 48033
Phone (248) 746-0342

22255 Greenfield Rd
Ste 422
Southfield, MI 48075
Phone (248) 424-3195

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

Interoperability endpoints

  • Direct secure messaging: avosburgh1091037@direct.hfhs.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1891774972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE STE B230",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741257",
            "telephone_number": "248-465-4193",
            "fax_number": "248-465-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE",
            "address_2": "B223",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741233",
            "telephone_number": "248-465-4800",
            "fax_number": "248-465-4872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47601 Grand River Ave Ste B230",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741257",
            "country_code": "US",
            "telephone_number": "248-465-4193",
            "fax_number": "248-465-4872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOSBURGH",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301048062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175659110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.