Organization Active NPI

Violeta Grivej MD PLLC

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1972280337
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VIOLETA GRIVEJ MD PLLC
Practice address
2794 Wagonwheel Dr
Troy, MI 48085-7019
Phone
(248) 561-8209
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Violeta Grivej, MDNPI 1699845644
Title
Owner
Phone
(248) 283-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2794 Wagonwheel Dr
Troy, MI 48085-7019

Mailing address

2794 Wagonwheel Dr
Troy, MI 48085-7019
Phone (248) 561-8209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231013002502 MI Part B Supplier - Clinic/Group Practice 8820443609 Receives reassigned benefits from 1 practitioner
Practice locations: Pontiac, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1972280337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2794 WAGONWHEEL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480857019",
            "telephone_number": "248-561-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2794 WAGONWHEEL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480857019",
            "telephone_number": "248-561-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLETA GRIVEJ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "GRIVEJ",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-283-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.