GREAT LAKES ORTHOPAEDICS
NPI 1740375518
Orthopaedic Surgery in Garden City, MI

Active since October 04, 2006
6255 INKSTER RD, STE 103, GARDEN CITY, MI 48135(734) 422-8400 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Great Lakes Orthopaedics NPPES

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

GREAT LAKES ORTHOPAEDICS (NPI 1740375518) is a healthcare organization registered as an orthopaedic surgery in Garden City, Michigan and active in the NPI registry since October 2006. The organization lists Jeffrey E Lawley, President, as its authorized official.

NPPES Registry Identity

NPI1740375518
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameGREAT LAKES ORTHOPAEDICS
Location Address6255 INKSTER RD, STE 103Garden City, MI 48135-2577
Mailing Address6255 Inkster Rd, Ste 103Garden City, MI 48135-2577 · (734) 422-8400
Organization SubpartNo
Authorized OfficialJeffrey E LawleyPresident · (734) 422-8400
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 18, 2013
✔ NPI 1740375518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
6255 INKSTER RD, Garden City, MI 48135

Other Identifiers 2

Medicare PINOP59390MI
Other0H21975MI · Bcbsm

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20080721000267Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Great Lakes Orthopaedics, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Orthopedic Surgery
NPI 1861705402
6255 INKSTER RD SUITE 103
Garden City, MI 48135
(734) 422-8400
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1033189576
6255 INKSTER RD SUITE 103
Garden City, MI 48135
(734) 422-8400
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1952372104
6255 INKSTER RD SUITE 103
Garden City, MI 48135
(734) 422-8400
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1396716544
6255 INKSTER RD SUITE 103
Garden City, MI 48135
(734) 422-8400
✔ PECOSSame address
Orthopedic Surgery
NPI 1740690775
6255 INKSTER RD STE 103
Garden City, MI 48135
(734) 422-8400
✔ PECOS✔ Accepts Medicare4.8 mi

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

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 Orthopaedics's NPI number?

The NPI number for Great Lakes Orthopaedics is 1740375518. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Great Lakes Orthopaedics located?

Great Lakes Orthopaedics is located at 6255 Inkster Rd Ste 103, Garden City, MI 48135. The listed phone number is (734) 422-8400.

What is Great Lakes Orthopaedics's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Great Lakes Orthopaedics enrolled in Medicare?

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

When is Great Lakes Orthopaedics's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Great Lakes Orthopaedics?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Great Lakes Orthopaedics. 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. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Lakes Orthopaedics accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Orthopaedics 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 Orthopaedics was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.