Individual provider Active NPI

Sarafin Grceski, PA-C

  • Physician Assistant
  • Berkley, MI
National Provider Identifier
1992957336
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004902 Issued in MI
Practice address
27901 Woodward Ave Ste 300
Berkley, MI 48072-0921
Phone
(248) 545-0070
Fax
(248) 545-4850
NPI assigned
Oct 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004902 MI Primary

Addresses

Primary practice location

27901 Woodward Ave Ste 300
Berkley, MI 48072-0921

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

27901 Woodward Ave Ste 300
Berkley, MI 48072-0921
Phone (245) 875-2145

Other practice location 2

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 574-0890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgrceski980476@direct.beaumont.edu

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100312000591 MI Practitioner - Physician Assistant 9335274539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

16800 W 12 Mile Rd
102 Beaumont Northpointe Heart Center
Southfield, MI 48076-6335
Phone (248) 569-9797

27901 Woodward Ave
300 Beaumont Northpointe Heart Ctr
Berkley, MI 48072-0921
Phone (248) 545-0070

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601004902MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital CurrentSince Jun 25, 2019 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Oct 10, 2015 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Physician Assistant CurrentSince Oct 10, 2015 Accepting new patients
William Beaumont Hospital CurrentSince Jun 25, 2019 Accepting new patients

Locations

27901 Woodward Ave
Ste 300
Berkley, MI 48072
Phone (248) 345-0070

3601 W 13 Mile Rd
Royal Oak, MI 48073

26001 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 779-7000

16800 W 12 Mile Rd
Ste 102
Southfield, MI 48076
Phone (248) 569-9797

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

11900 E 12 Mile Rd
Ste 103
Warren, MI 48093
Phone (586) 574-0890

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1992957336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE STE 300",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720921",
            "telephone_number": "248-545-0070",
            "fax_number": "248-545-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27901 Woodward Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480720921",
            "country_code": "US",
            "telephone_number": "245-875-2145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11800 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480933472",
            "country_code": "US",
            "telephone_number": "586-574-0890",
            "fax_number": "586-574-9321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRCESKI",
        "first_name": "SARAFIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgrceski980476@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "27901 Woodward Ave Ste 300",
            "city": "Berkley",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480720921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.