Active NPI
Douglas Robert Grucz, M.D.
- Family Medicine Physician
- Canton, MI
National Provider Identifier
1902184146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301099539
- Practice address
- 7330 N Canton Center Rd
Suite 111
Canton, MI 48187-1538 - Phone
- (734) 454-8001
- Fax
- (734) 454-8030
- NPI assigned
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301099539 | MI | Primary |
Addresses
Primary practice location
7330 N Canton Center Rd
Suite 111
Canton, MI 48187-1538
Mailing address
5952 Centralia St
Dearborn Heights, MI 48127-2933
Phone (313) 300-2783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301099539 | Other | MI | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065
7330 N Canton Ctr Rd
Canton, MI 48187-1538
Phone (734) 454-8001
Hospital & facility affiliations
- Beaumont Hospital - Dearborn
- Corewell Health Wayne Hospital
- Beaumont Hospital - Taylor
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital Royal Oak
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301099539 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Ambulatory LLC | Family Medicine | Current | Accepting new patients |
| Oakwood Ambulatory, LLC | Current | Accepting new patients |
Locations
201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065
7330 N Canton Center Rd
Ste 111
Canton, MI 48187
Phone (734) 454-2808
Organizations & group practices 2
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.
-
- Podiatrist
- Westland, MI
- NPI 1013157361
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1902184146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5952 CENTRALIA ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272933",
"telephone_number": "313-300-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7330 N CANTON CENTER RD",
"address_2": "SUITE 111",
"city": "CANTON",
"state": "MI",
"postal_code": "481871538",
"telephone_number": "734-454-8001",
"fax_number": "734-454-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUCZ",
"first_name": "DOUGLAS",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301099539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "4301099539",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.