DR. GRACE BOMMARITO (DO) – Obstetrics & Gynecology Physician, NPI 1184282626

DR. GRACE BOMMARITO (DO) is a healthcare provider. based in Pontiac, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. DO3384 (NV). The NPI Number for DR. GRACE BOMMARITO (DO) is 1184282626

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRACE BOMMARITO (DO)
NPI
1184282626
Phone
(248) 467-6018
Address
44405 WOODWARD AVE # H23
Enumeration Date
30 May 2019
Last Update Date
1 December 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7028181919
Graduation Year
2019 (7 years ago)
PAC ID
2163758590
Group Practice PAC ID
1557514692
Professional Enrollment ID
I20230719002872
Address ID
NV890307190NO1815XBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,735 OBSTETRICS/GYNECOLOGY in MI

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Provider Addresses for DR. GRACE BOMMARITO (DO)

  • Woodward Avenue, Pontiac, Oakland County, Michigan, 48342, United States

    PONTIAC, MI 483415023

    Phone: (248) 467-6018

    Type: Mailing

  • 9970 W CHEYENNE AVE STE 100

    LAS VEGAS, NV 891297700

    Phone: (702) 978-8900

    Fax: (702) 978-7617

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $3,147.

Total Amount is formed as General ($3,147) + Research ($0) + Ownership ($0) = $3,147.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,000).

Total Amount

$3,147

General + Research + Ownership

Payments

10

Total payment records

General Amount

$3,147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2023-07-19

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
I20230719002872IObstetrics/GynecologyNVTBD

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 48341)

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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: 1557514692View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNV
O B S T E T R I C S/ G Y N E C O L O G YND
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNV

Reviews

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Frequently asked questions

How is DR. GRACE BOMMARITO (DO) identified in CMS data?
CMS-hosted NPPES data lists DR. GRACE BOMMARITO (DO) with NPI 1184282626.
Does CMS list DR. GRACE BOMMARITO (DO) as active?
Yes — DR. GRACE BOMMARITO (DO) is active in the NPI listing used on this page.
What healthcare role does DR. GRACE BOMMARITO (DO) hold?
Scheduling teams often label DR. GRACE BOMMARITO (DO) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. GRACE BOMMARITO (DO) based?
DR. GRACE BOMMARITO (DO) is tied to Pontiac, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about DR. GRACE BOMMARITO (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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