GREAT LAKES UROGYNECOLOGY PLC
NPI 1144111840
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Brownstown Twp, MI

Q: What is Great Lakes Urogynecology Plc's NPI number?

The NPI number for Great Lakes Urogynecology Plc is 1144111840. It was assigned to this organization in the NPPES registry on July 10, 2025.

Q: What is Great Lakes Urogynecology Plc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Active since July 10, 2025CLIA 23D2330379 · Waiver

19249 ALLEN RD STE B, BROWNSTOWN TWP, MI 48183(248) 835-2797 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2025, Jul 10, 2025 (2 updates tracked since 2025).

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About Great Lakes Urogynecology Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES UROGYNECOLOGY PLC (NPI 1144111840) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Brownstown Twp, Michigan and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Jaclyn Taylor Baratono, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1144111840

Entity TypeOrganization

Primary Taxonomy207VF0040X

Legal Business NameGREAT LAKES UROGYNECOLOGY PLC

Location Address19249 ALLEN RD STE BBrownstown Twp, MI 48183-1189

Mailing Address19249 Allen Rd Ste BBrownstown Twp, MI 48183-1189 · (734) 225-6859

Phone(248) 835-2797

Organization SubpartNo

Authorized OfficialJaclyn Taylor BaratonoAuthorized Official · (734) 225-6859

Enumeration DateJuly 10, 2025

Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1144111840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

19249 ALLEN RD STE B, Brownstown Twp, MI 48183

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Lakes Urogynecology Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Great Lakes Urogynecology Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jaclyn Baratono, DO

Obstetrics/Gynecology

NPI 1093236192

19249 ALLEN RD. SUITE B.
Brownstown, MI 48183

(734) 225-6859

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2330379

Great Lakes Urogynecology Plc · Brownstown, MI

Active · expires Sep 15, 2027

CLIA Number23D2330379

Laboratory TypePhysician Office

Certificate Effective DateSeptember 16, 2025

Certificate Expiration DateSeptember 15, 2027

Laboratory DirectorJaclyn T. Baratono

Laboratory Phone(734) 225-6859

Laboratory LocationGreat Lakes Urogynecology Plc19249 Allen Road Suite B, Brownstown, MI 48183

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Urogynecology Plc's NPI number?

The NPI number for Great Lakes Urogynecology Plc is 1144111840. It was assigned to this organization in the NPPES registry on July 10, 2025.

Where is Great Lakes Urogynecology Plc located?

Great Lakes Urogynecology Plc is located at 19249 Allen Rd Ste B, Brownstown Twp, MI 48183. The listed phone number is (248) 835-2797.

What is Great Lakes Urogynecology Plc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Great Lakes Urogynecology Plc enrolled in Medicare?

Yes. Great Lakes Urogynecology Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Lakes Urogynecology Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Great Lakes Urogynecology Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Great Lakes Urogynecology Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2330379) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Great Lakes Urogynecology Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Urogynecology Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Urogynecology Plc was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.