DR. JOHN ELLIOTT BOCCACCIO (M.D.) – Specialist, NPI 1164463758

DR. JOHN ELLIOTT BOCCACCIO (M.D.) is a healthcare provider. based in Grosse pointe woods, Michigan. specializing in Specialist. They hold the professional credentials M.D.. They hold a License No. 4301047282 (MI). The NPI Number for DR. JOHN ELLIOTT BOCCACCIO (M.D.) is 1164463758

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ELLIOTT BOCCACCIO (M.D.)
NPI
1164463758
Phone
(313) 885-1520
Address
19229 MACK AVE
Enumeration Date
8 June 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2483530200
Graduation Year
1979 (47 years ago)
PAC ID
0840183042
Group Practice PAC ID
3476624701
Professional Enrollment ID
I20050114000722
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN ELLIOTT BOCCACCIO (M.D.)

  • 19229, Mack Avenue, Grosse Pointe Woods, Wayne County, Michigan, 48236, United States

    SUITE 38

    GROSSE POINTE WOODS, MI 482362858

    Phone: (313) 885-1520

    Fax: (313) 885-1740

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 48236)

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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: 3476624701View full group profile
NameSpecialtyState
General SurgeryMI

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Frequently asked questions

What federal number belongs to DR. JOHN ELLIOTT BOCCACCIO (M.D.)?
The federal identifier for DR. JOHN ELLIOTT BOCCACCIO (M.D.) is NPI 1164463758.
Is DR. JOHN ELLIOTT BOCCACCIO (M.D.) active in the national directory?
DR. JOHN ELLIOTT BOCCACCIO (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. JOHN ELLIOTT BOCCACCIO (M.D.)?
The page reflects Other Service Providers for DR. JOHN ELLIOTT BOCCACCIO (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JOHN ELLIOTT BOCCACCIO (M.D.)?
The page summarizes Grosse Pointe Woods, Michigan for DR. JOHN ELLIOTT BOCCACCIO (M.D.); expand the address list for detail.
Is DR. JOHN ELLIOTT BOCCACCIO (M.D.) a real provider?
This page reflects official NPPES data for NPI 1164463758. Always confirm identity and privileges with the practice and licensing boards.

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