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DR. DOMENIC G GROSSO D.O.
NPI 1588314710
Student in an Organized Health Care Education/Training Program in Saint Clair Shores, MI

Active since March 29, 2022PECOS Enrolled
24211 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48080(586) 498-0440(586) 498-0401 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Domenic G Grosso D.o. NPPES

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

DR. DOMENIC G GROSSO D.O. (NPI 1588314710) is an individual student in an organized health care education/training program in Saint Clair Shores, Michigan and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588314710
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DOMENIC G GROSSOCredential: D.O.
Location Address24211 LITTLE MACK AVESaint Clair Shores, MI 48080-1151
Mailing Address24211 Little Mack AveSaint Clair Shores, MI 48080-1151 · (586) 498-0440 · Fax (586) 498-0401
Phone(586) 498-0440
Fax(586) 498-0401
Sole ProprietorNo
Enumeration DateMarch 29, 2022
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1588314710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
24211 LITTLE MACK AVE, Saint Clair Shores, MI 48080
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Domenic G Grosso D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAID KASMIKHA D.O.
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
DR. GEORGE B GHANEM MD
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
THOMAS PATRICK DAVIS MD
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
DR. DAVID JOSE RODRIGUEZ M.D.
Internal Medicine (Interventional Cardiology)
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
THOMAS ALEXANDER LALONDE MD
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
MARC OLIVER GOSSELIN DO
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
RUDY J VERVAEKE MD PLC
Internal Medicine (Addiction Medicine)
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 775-7400
GEORGES B GHAFARI MD
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440

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 Domenic Grosso's NPI number?

The NPI number for Domenic Grosso is 1588314710. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Domenic Grosso located?

Domenic Grosso practices at 24211 Little Mack Ave, Saint Clair Shores, MI 48080. The listed phone number is (586) 498-0440.

What is Domenic Grosso's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Domenic Grosso enrolled in Medicare?

Yes. Domenic Grosso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Domenic Grosso was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.