DR. JARED GRODMAN (DO) – Gastroenterology Physician, NPI 1013404540

DR. JARED GRODMAN (DO) is a healthcare provider. based in Farmington hills, Michigan. specializing in GASTROENTEROLOGY. They hold the professional credentials DO. They hold a License No. 5101027935 (MI). The NPI Number for DR. JARED GRODMAN (DO) is 1013404540

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JARED GRODMAN (DO)
NPI
1013404540
Phone
Not provided
Address
28050 GRAND RIVER AVE
Enumeration Date
19 April 2018
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2485799220
Graduation Year
2018 (8 years ago)
PAC ID
2961766464
Group Practice PAC ID
3274578661
Professional Enrollment ID
I20240710002681
Address ID
MI483363279FA23133RDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

648 GASTROENTEROLOGY in MI

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Provider Addresses for DR. JARED GRODMAN (DO)

  • Beaumont Hospital - Farmington Hills, 28050, Grand River Avenue, Farmington Hills, Oakland County, Michigan, 48336, United States

    FARMINGTON HILLS, MI 483365919

    Phone:

    Type: Mailing

  • 1 William Carls Dr Ste 220

    Commerce Twp, MI 483822201

    Phone: (248) 579-9220

    Fax: (248) 426-7350

    Type: Location

  • 28050 Grand River Ave

    Farmington Hills, MI 483365919

    Phone: (248) 471-8232

    Type: Location

  • 27301 Dequindre Rd Ste 314

    Madison Heights, MI 480713459

    Phone: (248) 471-9978

    Fax: (248) 426-7350

    Type: Location

  • 23133 ORCHARD LAKE RD STE 200

    FARMINGTON HILLS, MI 483363279

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $2,914.

Total Amount is formed as General ($2,914) + Research ($0) + Ownership ($0) = $2,914.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($903).

Total Amount

$2,914

General + Research + Ownership

Payments

79

Total payment records

General Amount

$2,914

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240710002681IGastroenterologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48336)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274578661View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyMI
P A T H O L O G YTN
G A S T R O E N T E R O L O G YMI
-MI
G A S T R O E N T E R O L O G YMI
Internal MedicineMI
-MI

Reviews

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Frequently asked questions

Can I verify DR. JARED GRODMAN (DO) with an NPI only?
You can start verification with NPI 1013404540 for DR. JARED GRODMAN (DO), then check state licensing separately.
Does the file indicate DR. JARED GRODMAN (DO) is practicing under active NPI?
Directory data currently reports DR. JARED GRODMAN (DO) as active.
What is DR. JARED GRODMAN (DO)'s specialty?
The listing groups DR. JARED GRODMAN (DO) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JARED GRODMAN (DO) on a map?
Expect Farmington Hills, Michigan as a primary anchor for DR. JARED GRODMAN (DO) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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